Wenneker, Wendell Warren
Wenneker, Wendell Warren is an individual health care provider with primary practice located at 3443 Villa Ln Suite 3, Napa CA 94558-6417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wenneker, Wendell Warren can be contacted via phone (707) 226-2031.Contact Information
Primary practice address
3443 Villa Ln Suite 3
Napa CA 94558-6417
Phone: (707) 226-2031
Fax: (707) 252-1087
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | G37197 | California |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G37197 | California |
Profile Details
NPI number | 1669480232 |
---|---|
LBN Legal business name | Wenneker, Wendell Warren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Mar 16th, 2009 - about 16 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 | 1669480232 | NPPES |
California | Other | 00G371970 | BLUE SHIELD |
California | MEDICAID | 00G371970 | BLUE SHIELD |
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