Individual
REBECCA A WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6055 PARK SQUARE DR, LORAIN, OH 44053-4154
(440) 723-5685
(440) 723-5686
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35083877
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001058808
ANTHEM
OH
05
—
2455945
—
OH
01
—
7690503
AETNA
OH
01
—
H518050
MEDICARE
OH
Enumeration date
05/12/2006
Last updated
07/02/2024
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