Individual
MRS. MARY KAREN SOMOGYE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6056 BURRWOOD DR, SYLVANIA, OH 43560-1001
(419) 349-0110
Mailing address
6056 BURRWOOD DR, SYLVANIA, OH 43560-1001
(419) 349-0110
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN.147510-
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3044048
ODJFS MEDICAID
OH
05
—
3044048
—
OH
01
—
4805205
DODD
OH
Enumeration date
06/08/2010
Last updated
06/08/2010
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