DR. CRAIG WETTERER PH.D. J.D. NPI 1295134930

NPI Information

NPI: 1295134930
Provider Name: DR. CRAIG WETTERER, PH.D., J.D.
Classification:
Entity Type: Individual

PECOS Registration: Yes

Address:
204 N MINNESOTA ST STE 1A
CARSON CITY, NV
ZIP 89703
Phone: (775) 430-7796
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DR. Craig Wetterer, PH.D., J.D. is a healthcare provider in Carson City, NV. DR. Craig Wetterer, PH.D., J.D. NPI is 1295134930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

204 N MINNESOTA ST STE 1A
CARSON CITY, NV
ZIP 89703-151
Phone: (775) 430-7796
Fax: (916) 860-1396

The NPI 1295134930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 3/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0200X	Psychologist	Forensic	PY0899	NEVADA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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