Knesebeck, Wayne S.

Knesebeck, Wayne S. is an individual health care provider with primary practice located at 4200 Park Ave 3Rd Floor, Ashtabula OH 44004-6887. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Knesebeck, Wayne S. can be contacted via phone (440) 992-2121.

Contact Information

Primary practice address
4200 Park Ave 3Rd Floor Ashtabula OH 44004-6887
Phone: (440) 992-2121
Fax: (440) 992-5974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OHIO LIC C0501083 Ohio

Profile Details

NPI number 1275738551
LBN Legal business name Knesebeck, Wayne S.
Credentials P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
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 1275738551 NPPES
Ohio Other 1851352959 GROUP NPI NUMBER

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