Person
Screen this subjectChristopher Wendel
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: DE Lic# C10002433 PROMISe# 001019571
Sanctions and listings2
- Effective
- 17 Oct 2017
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Active- Provider agreement will become terminated effective 02/07/2017 for PA; MANAGED CARE REPORTING ONLY ACTIVE
- Effective
- 7 Feb 2017
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD023365E |
| NPI number | 1316038599 |
Addresses2
(DE), (DE)
DE, DE
(DE)United States
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