Wonnell-Chizmar, Lisa Marie

Wonnell-Chizmar, Lisa Marie is an individual health care provider with primary practice located at 7053 W Central Ave , Toledo OH 43617-1114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wonnell-Chizmar, Lisa Marie can be contacted via phone (419) 843-1370.

Contact Information

Primary practice address
7053 W Central Ave Toledo OH 43617-1114
Phone: (419) 843-1370
Fax: (419) 843-1362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 07055 Ohio

Profile Details

NPI number 1669471439
LBN Legal business name Wonnell-Chizmar, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Nov 13th, 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 1669471439 NPPES
Ohio MEDICAID 2352332

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