Blikken, Wayland G
Blikken, Wayland G is an individual health care provider with primary practice located at 1305 N Elm St , Henderson KY 42420-2783. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Blikken, Wayland G can be contacted via phone (270) 827-0353.Contact Information
Primary practice address
1305 N Elm St
Henderson KY 42420-2783
Phone: (270) 827-0353
Fax: (270) 827-4966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01045943A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01045943A | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 24826 | Kentucky |
Profile Details
| NPI number | 1548208721 |
|---|---|
| LBN Legal business name | Blikken, Wayland G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Dec 26th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548208721 | NPPES |
| Kentucky | MEDICAID | 64880461 | |
| Kentucky | Other | 430048801 | |
| Kentucky | MEDICAID | 200121900 | |
| Kentucky | Other | 000000065510 |
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