Vonmatthiessen, Pamela Wagner

Vonmatthiessen, Pamela Wagner is an individual health care provider with primary practice located at 1234 Livermore Street , Yellow Springs OH 45387. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vonmatthiessen, Pamela Wagner can be contacted via phone (937) 767-0147.

Contact Information

Primary practice address
1234 Livermore Street Yellow Springs OH 45387
Phone: (937) 767-0147
Fax: (970) 641-9017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38431 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.076986 Ohio

Profile Details

NPI number 1477550762
LBN Legal business name Vonmatthiessen, Pamela Wagner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 23rd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477550762 NPPES
Ohio MEDICAID 2208659
Ohio MEDICAID 70076341

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