Wenner, Nadine P

Wenner, Nadine P is an individual health care provider with primary practice located at 3455 Main St Ste 5, Springfield MA 01107-1147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wenner, Nadine P can be contacted via phone (413) 733-9600.

Contact Information

Primary practice address
3455 Main St Ste 5 Springfield MA 01107-1147
Phone: (413) 733-9600
Fax: (413) 732-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 71759 Massachusetts

Profile Details

NPI number 1144227703
LBN Legal business name Wenner, Nadine P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Apr 24th, 2008 - about 17 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 1144227703 NPPES
Connecticut Other 484187J597 CONNECTICARE
Connecticut Other 070004064 CONNECTICARE
Connecticut Other 17641 CONNECTICARE
Connecticut Other WEN51739 CONNECTICARE
Connecticut Other 0304209 CONNECTICARE
Connecticut Other 071759 CONNECTICARE

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