Wensink, James Maurice

Wensink, James Maurice is an individual health care provider with primary practice located at 19551 Euclid Ave , Euclid OH 44117-1409. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wensink, James Maurice can be contacted via phone (216) 692-3777.

Contact Information

Primary practice address
19551 Euclid Ave Euclid OH 44117-1409
Phone: (216) 692-3777
Fax: (216) 692-3688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30.014999 Ohio

Profile Details

NPI number 1417170572
LBN Legal business name Wensink, James Maurice
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 9th, 2007 - 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 1417170572 NPPES
Ohio MEDICAID 0320610

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