Beaver, Wayne Lee

Beaver, Wayne Lee is an individual health care provider with primary practice located at 777 W State St Suite 302, Columbus OH 43222-1536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Beaver, Wayne Lee can be contacted via phone (614) 221-2299.

Contact Information

Primary practice address
777 W State St Suite 302 Columbus OH 43222-1536
Phone: (614) 221-2299
Fax: (614) 221-7458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35043307 Ohio

Profile Details

NPI number 1184611170
LBN Legal business name Beaver, Wayne Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184611170 NPPES
Ohio Other 000000216704 ANTHEM BCBS
Ohio MEDICAID 0429530 ANTHEM BCBS

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