Wysor, James Jefferson

Wysor, James Jefferson is an individual health care provider with primary practice located at 3103 Campbell St , Sandusky OH 44870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wysor, James Jefferson can be contacted via phone (419) 625-4461.

Contact Information

Primary practice address
3103 Campbell St Sandusky OH 44870
Phone: (419) 625-4461
Fax: (419) 625-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35047619W Ohio

Profile Details

NPI number 1689646481
LBN Legal business name Wysor, James Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1689646481 NPPES
Ohio Other 04375 PARAMOUNT
Ohio MEDICAID 0538681 PARAMOUNT
Ohio Other 000000131843 PARAMOUNT

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