Wymyslo, Edmund Louis
Wymyslo, Edmund Louis is an individual health care provider with primary practice located at 4860 Frank Rd Nw , North Canton OH 44720-7426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wymyslo, Edmund Louis can be contacted via phone (330) 494-7099.Contact Information
Primary practice address
4860 Frank Rd Nw
North Canton OH 44720-7426
Phone: (330) 494-7099
Fax: (330) 494-2147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35058808W | Ohio |
Profile Details
| NPI number | 1922072024 |
|---|---|
| LBN Legal business name | Wymyslo, Edmund Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922072024 | NPPES |
| Ohio | MEDICAID | 0838713 |
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