Wangenheim, Paul
Wangenheim, Paul is an individual health care provider with primary practice located at 741 Northfield Ave Ste 205, West Orange NJ 07052-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wangenheim, Paul can be contacted via phone (973) 467-1544.Contact Information
Primary practice address
741 Northfield Ave Ste 205
West Orange NJ 07052-1174
Phone: (973) 467-1544
Fax: (973) 467-9586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 43085 | New Jersey |
Profile Details
| NPI number | 1437146792 |
|---|---|
| LBN Legal business name | Wangenheim, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Dec 9th, 2013 - about 13 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 | 1437146792 | NPPES |
| Other | 1K9394 | HEALTHNET | |
| Other | 5710574 | HEALTHNET | |
| MEDICAID | 1918206 | HEALTHNET | |
| Other | 4116261 | HEALTHNET | |
| Other | 01000350800 | HEALTHNET | |
| Other | 1001644002 | HEALTHNET | |
| Other | ES229 | HEALTHNET | |
| Other | 81557 | HEALTHNET | |
| Other | 19E881 | HEALTHNET | |
| Other | 0300997000 | HEALTHNET |
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