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NPI Code Detail

MEDICARE: MR. WILLIAM PAUL PANNING LISW

MEDICARE:  MR. WILLIAM PAUL PANNING  LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI 1385OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14312801OTHEROHAETNA INSURANCE
2000000115851OTHEROHANTHEM BLUE CROSS

General Provider Information

NPI Number : 1447318324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM PAUL PANNING LISW
Provider Business Mailing Address
First Line : 3040 RIVERSIDE DR
Second Line : SUITE 202
City : COLUMBUS
State : OH
Zip : 43221-2551
Country : US
Telephone Number : 614-486-7725
Fax Number :
Provider Business Practice Location Address
First Line : 3040 RIVERSIDE DR
Second Line : SUITE 202
City : COLUMBUS
State : OH
Zip : 43221-2551
Country : US
Telephone Number : 614-486-7725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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Directions to “ MR. WILLIAM PAUL PANNING LISW” Practice Location

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