Provider Demographics
NPI:1669537791
Name:WEHRI, CARL SYLVESTER (MD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:SYLVESTER
Last Name:WEHRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:1775 E FIFTH ST
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-0458
Mailing Address - Country:US
Mailing Address - Phone:419-692-1055
Mailing Address - Fax:419-692-4203
Practice Address - Street 1:1775 E FIFTH ST
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-0458
Practice Address - Country:US
Practice Address - Phone:419-692-1055
Practice Address - Fax:419-692-4203
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH39853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0407303Medicaid
A77378Medicare UPIN
WE0441714Medicare ID - Type Unspecified