Wallenbrock, Angela B

Wallenbrock, Angela B is an sole proprietor health care provider with primary practice located at 880 Greenlawn Ave , Columbus OH 43223-2616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Wallenbrock, Angela B can be contacted via phone (614) 449-9664.

Contact Information

Primary practice address
880 Greenlawn Ave Columbus OH 43223-2616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35049858W Ohio

Profile Details

NPI number 1215907332
LBN Legal business name Wallenbrock, Angela B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Jul 17th, 2013 - about 11 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 1215907332 NPPES
Ohio MEDICAID 0599320

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