Charles Joshua Wachenschwanz
Private Vehicle in The Plains, OH. Individual provider (NPI-1).
NPI number1386901296
StatusActive
Last updated in NPPESApr 16, 2012
Details
- NPI
- 1386901296
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Joshua Wachenschwanz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2012
- Last updated
- Apr 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | TF824203 | OH | Yes |
Practice location
10733 State Route 682The Plains, OH 45780-1328
Phone 740-856-6731
Mailing address
10733 State Route 682The Plains, OH 45780-1328
Phone 740-856-6731
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