Wheeler, Peggy Sue

Wheeler, Peggy Sue is an sole proprietor health care provider with primary practice located at 8445 Munson Rd. , Mentor OH 44060-4406. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Wheeler, Peggy Sue can be contacted via phone (440) 255-1700.

Contact Information

Primary practice address
8445 Munson Rd. Mentor OH 44060-4406
Fax: (440) 205-2417
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X RA4557 Ohio

Profile Details

NPI number 1396264362
LBN Legal business name Wheeler, Peggy Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2017
Last updated Jul 21st, 2022 - about 2 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 1396264362 NPPES
Ohio MEDICAID 2844093

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