Coburn, Wanda Sue
Coburn, Wanda Sue is an individual health care provider with primary practice located at 900 Mull Ave , Akron OH 44313-7502. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Coburn, Wanda Sue can be contacted via phone (330) 867-5603.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E0002808 | Ohio |
Profile Details
NPI number | 1174658884 |
---|---|
LBN Legal business name | Coburn, Wanda Sue |
Credentials | MA., PCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2007 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174658884 | NPPES |
Ohio | Other | 00000217562 | ANTHEM BC BS |
Ohio | Other | 34-1213335-026 | ANTHEM BC BS |
Ohio | MEDICAID | 2375451 | ANTHEM BC BS |
Ohio | Other | 200131 | ANTHEM BC BS |
Ohio | Other | 6289134 | ANTHEM BC BS |
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