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Contact Information

JOHN E. WISE MD PA
11 13TH AVE NE
SUITE 103
HICKORY, NC28601-3700
 Phone: 828-328-2094
 Fax: 828-328-8980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for JOHN E. WISE MD PA

NPI # 1417042623
LBN Legal business name JOHN E. WISE MD PA
Authorized official JOHN WISE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 07/07/2008 - About 18 years ago
Identifiers
NC License # 11979
NC Medicaid 8988634
NC Other 88634 BLUE CROSS BLUE SHIELD NC
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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