Wonderly, Mary B.
Wonderly, Mary B. is an sole proprietor health care provider with primary practice located at 1479 N River Rd , Fremont OH 43420-9760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wonderly, Mary B. can be contacted via phone (419) 355-9440.Contact Information
Primary practice address
1479 N River Rd
Fremont OH 43420-9760
Phone: (419) 355-9440
Fax: (419) 355-9443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-082561 | Ohio |
Profile Details
| NPI number | 1891774030 |
|---|---|
| LBN Legal business name | Wonderly, Mary B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1891774030 | NPPES |
| Ohio | MEDICAID | 2396303 |
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