Beaver, Wayne Allen

Beaver, Wayne Allen is an individual health care provider with primary practice located at Luke Air Force Base Bldg 317, Glendale AZ 85309. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beaver, Wayne Allen can be contacted via phone (623) 856-7579.

Contact Information

Primary practice address
Luke Air Force Base Bldg 317 Glendale AZ 85309
Phone: (623) 856-7579
Fax: (623) 856-4433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X #978 Arizona

Profile Details

NPI number 1679658538
LBN Legal business name Beaver, Wayne Allen
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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