Wells, Jessica B

Wells, Jessica B is an individual health care provider with primary practice located at 221 W 21St St Ste 1, Lorain OH 44052-4754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Wells, Jessica B can be contacted via phone (440) 233-0138.

Contact Information

Primary practice address
221 W 21St St Ste 1 Lorain OH 44052-4754
Fax: (440) 233-1051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35084345 Ohio

Profile Details

NPI number 1790750446
LBN Legal business name Wells, Jessica B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 28th, 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 1790750446 NPPES
Ohio MEDICAID 2472935
Ohio MEDICAID 3025372
Ohio MEDICAID 0236248

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