Wendland, Marcia Lynn
Wendland, Marcia Lynn is an individual health care provider with primary practice located at 5105 W Main St , Belleville IL 62226-4728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Wendland, Marcia Lynn can be contacted via phone (618) 233-0798.Contact Information
Primary practice address
5105 W Main St
Belleville IL 62226-4728
Phone: (618) 233-0798
Fax: (618) 233-5647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036062393 | Illinois |
Profile Details
| NPI number | 1194706564 |
|---|---|
| LBN Legal business name | Wendland, Marcia Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Apr 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194706564 | NPPES |
| Illinois | MEDICAID | 036062393 |
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