Wagenhals, Karen Sue

Wagenhals, Karen Sue is an sole proprietor health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wagenhals, Karen Sue can be contacted via phone (419) 526-8486.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35-041504 Ohio

Profile Details

NPI number 1952491870
LBN Legal business name Wagenhals, Karen Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952491870 NPPES
Ohio MEDICAID 2289161

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