Wiese, Anita H

Wiese, Anita H is an individual health care provider with primary practice located at 6831 N Chestnut St , Ravenna OH 44266-3929. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wiese, Anita H can be contacted via phone (330) 297-4564.

Contact Information

Primary practice address
6831 N Chestnut St Ravenna OH 44266-3929
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP8366 Ohio

Profile Details

NPI number 1710978879
LBN Legal business name Wiese, Anita H
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 19 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 1710978879 NPPES
Ohio Other SP8366 OH BD OF SPEECH LANG PATH

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