Individual
JESSICA WILSON-SOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4101
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-07-3831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271381
ANTHEM
OH
01
—
000000359587
ANTHEM
OH
05
—
2142649
—
OH
01
—
341960760041
CARESOURCE
OH
05
—
4446322
—
MI
01
—
727199
BCHP
OH
05
—
810547599060
—
OH
Enumeration date
04/10/2006
Last updated
08/21/2020
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