Wilson, Wendy Renee

Wilson, Wendy Renee is an sole proprietor health care provider with primary practice located at 654 Vedette St , Reynoldsburg OH 43068-8574. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wilson, Wendy Renee can be contacted via phone (614) 452-1278.

Contact Information

Primary practice address
654 Vedette St Reynoldsburg OH 43068-8574
Phone: (614) 452-1278
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 083742 IV Ohio

Profile Details

NPI number 1770764698
LBN Legal business name Wilson, Wendy Renee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 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 1770764698 NPPES
Ohio MEDICAID 2372865

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