Healthcare Provider Details
I. General information
NPI: 1104008317
Provider Name (Legal Business Name): WOMEN'S HEALTHCARE UNLIMITED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1179 WESTWOOD DR STE 300
VAN WERT OH
45891-1474
US
IV. Provider business mailing address
1179 WESTWOOD DR STE 300
VAN WERT OH
45891-1474
US
V. Phone/Fax
- Phone: 419-238-3047
- Fax: 419-238-3052
- Phone: 419-238-3047
- Fax: 419-238-3052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 35068533 |
| License Number State | OH |
VIII. Authorized Official
Name: MRS.
JULIE
ANN
FIGLEY
Title or Position: OFFICE MANAGER
Credential: CMA
Phone: 419-238-3047