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Contact Information

RONALD E WOLLUM III, PAC
1416 W 1ST ST
SPRINGFIELD, OH45504
 Phone: 937-322-1700
 Fax: 937-322-8070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RONALD E WOLLUM III · (Male)

NPI # 1215983879
Status Active
Credentials PAC
Entity Individual
Enumeration date 05/25/2006
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9106675
  • OH License # 50002301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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