Wareham, Marshall Claude

Wareham, Marshall Claude is an sole proprietor health care provider with primary practice located at 5250 Far Hills Ave Suite 207, Dayton OH 45429-2382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wareham, Marshall Claude can be contacted via phone (937) 433-2300.

Contact Information

Primary practice address
5250 Far Hills Ave Suite 207 Dayton OH 45429-2382
Phone: (937) 433-2300
Fax: (937) 433-0210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-05-0634-W Ohio

Profile Details

NPI number 1114925112
LBN Legal business name Wareham, Marshall Claude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Mar 12th, 2012 - about 14 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 1114925112 NPPES
Ohio Other 311026469027 CARESOURCE
Ohio MEDICAID 0770134 CARESOURCE
Ohio Other 180011133 CARESOURCE
Ohio Other 22364 CARESOURCE
Ohio Other 000000189353 CARESOURCE

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