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
Phone: (614) 449-9664
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1215907332 | NPPES |
Ohio | MEDICAID | 0599320 |
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