| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLY WACHTEL | 1285280065 | 2019-08-16 |
Carly Wachtel [F] graduated in 2019 and primarily specializes in Physician Assistant.
Carly Wachtel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285280065. Registration indicates Carly Wachtel is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| PECOS ID | 4688007974 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Carly Wachtel PA-C |
| Practice Office Address | 3043 SANITARIUM RD STE 1 AKRON, OH US |
| Practice Office Telephone | 3306280660 |
| Practice Office Fax | 3306341329 |
| Mailing Address | 3515 MASSILLON RD STE 300 UNIONTOWN, OH 446857854 US |
| Business Telephone | 3308999350 |
| Business Fax | 3306341329 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |