Weckesser, Stephanie Marie

Weckesser, Stephanie Marie is an individual health care provider with primary practice located at 970 W Wooster St Suite 130, Bowling Green OH 43402-2643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Weckesser, Stephanie Marie can be contacted via phone (419) 352-6890.

Contact Information

Primary practice address
970 W Wooster St Suite 130 Bowling Green OH 43402-2643
Fax: (419) 353-2415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35097856 Ohio

Profile Details

NPI number 1497910061
LBN Legal business name Weckesser, Stephanie Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated May 10th, 2016 - about 8 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 1497910061 NPPES
Ohio MEDICAID 0061307

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