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Individual

MR. NEAL EDWARD WENGATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
309 HERMITAGE RD, GAHANNA, OH 43230-2863
(614) 774-1523
(614) 475-7774
Mailing address
309 HERMITAGE RD, GAHANNA, OH 43230-2863
(614) 774-1523
(614) 475-7774

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 167546
OH
163WW0000X
Wound Care Registered Nurse
RN 167546
OH
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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