Search › Ohio › 183500000X
Jordan Wollenberg
NPI 1710413711 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6095 Gender Rd
Canal Winchester, OH 43110 - Phone
- (614) 834-2805
- Fax
- (614) 417-0016
- Organisation at this address
- The Kroger Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio