Coburn, Wanda Sue

Coburn, Wanda Sue is an individual health care provider with primary practice located at 900 Mull Ave , Akron OH 44313-7502. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Coburn, Wanda Sue can be contacted via phone (330) 867-5603.

Contact Information

Primary practice address
900 Mull Ave Akron OH 44313-7502
Phone: (330) 867-5603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0002808 Ohio

Profile Details

NPI number 1174658884
LBN Legal business name Coburn, Wanda Sue
Credentials MA., PCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 19 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 1174658884 NPPES
Ohio Other 00000217562 ANTHEM BC BS
Ohio Other 34-1213335-026 ANTHEM BC BS
Ohio MEDICAID 2375451 ANTHEM BC BS
Ohio Other 200131 ANTHEM BC BS
Ohio Other 6289134 ANTHEM BC BS

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