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Contact Information

WIELAND & ASSOCIATES, INC.
11123 PARKVIEW PLAZA DR
SUITE 200
FORT WAYNE, IN46845
 Phone: 260-672-6510
 Fax: 260-672-6501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WIELAND & ASSOCIATES, INC.

NPI Number 1114341559
LBN Legal business name WIELAND & ASSOCIATES, INC.
Authorized official KEVIN WIELAND - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2014
Last updated 02/05/2014 - About 12 years ago
Identifiers
IN License # 20041419A
IN Medicaid 200360310A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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