Wendt, David Matthew
Wendt, David Matthew is an individual health care provider with primary practice located at 19234 Detroit Rd , Rocky River OH 44116-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wendt, David Matthew can be contacted via phone (440) 356-3640.Contact Information
Primary practice address
19234 Detroit Rd
Rocky River OH 44116-1706
Phone: (440) 356-3640
Fax: (440) 356-3729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35080324 | Ohio |
Profile Details
| NPI number | 1508836016 |
|---|---|
| LBN Legal business name | Wendt, David Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jun 26th, 2009 - about 17 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 | 1508836016 | NPPES |
| Ohio | Other | 000000232253 | ANTHEM |
| Ohio | Other | 080189174 | ANTHEM |
| Ohio | Other | P00706005 | ANTHEM |
| Ohio | MEDICAID | 2338983 | ANTHEM |
| Ohio | Other | C80324 | ANTHEM |
| Ohio | Other | 000000540966 | ANTHEM |
| Ohio | Other | P00613207 | ANTHEM |
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