Wendt, David Matthew

Wendt, David Matthew is an individual health care provider with primary practice located at 19234 Detroit Rd , Rocky River OH 44116-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wendt, David Matthew can be contacted via phone (440) 356-3640.

Contact Information

Primary practice address
19234 Detroit Rd Rocky River OH 44116-1706
Phone: (440) 356-3640
Fax: (440) 356-3729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35080324 Ohio

Profile Details

NPI number 1508836016
LBN Legal business name Wendt, David Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 26th, 2009 - about 15 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 1508836016 NPPES
Ohio Other 000000232253 ANTHEM
Ohio Other 080189174 ANTHEM
Ohio Other P00706005 ANTHEM
Ohio MEDICAID 2338983 ANTHEM
Ohio Other C80324 ANTHEM
Ohio Other 000000540966 ANTHEM
Ohio Other P00613207 ANTHEM

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