Wonnell-Chizmar, Lisa Marie
Wonnell-Chizmar, Lisa Marie is an individual health care provider with primary practice located at 7053 W Central Ave , Toledo OH 43617-1114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wonnell-Chizmar, Lisa Marie can be contacted via phone (419) 843-1370.Contact Information
Primary practice address
7053 W Central Ave
Toledo OH 43617-1114
Phone: (419) 843-1370
Fax: (419) 843-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 07055 | Ohio |
Profile Details
| NPI number | 1669471439 |
|---|---|
| LBN Legal business name | Wonnell-Chizmar, Lisa Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Nov 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669471439 | NPPES |
| Ohio | MEDICAID | 2352332 |
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