Weatherwax, Angela M

Weatherwax, Angela M is an individual health care provider with primary practice located at 3555 Olentangy River Rd Suite 2050, Columbus OH 43214-3912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Weatherwax, Angela M can be contacted via phone (614) 566-2450.

Contact Information

Primary practice address
3555 Olentangy River Rd Suite 2050 Columbus OH 43214-3912
Phone: (614) 566-2450
Fax: (614) 566-1895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50-002174 Ohio

Profile Details

NPI number 1861486961
LBN Legal business name Weatherwax, Angela M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Feb 10th, 2014 - about 12 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 1861486961 NPPES
Ohio MEDICAID 0068168

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