Carlsen, Wayne R.
Carlsen, Wayne R. is an individual health care provider with primary practice located at 142 Parks Hall , Athens OH 45701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Carlsen, Wayne R. can be contacted via phone (740) 593-2482.Contact Information
Primary practice address
142 Parks Hall
Athens OH 45701
Phone: (740) 593-2482
Fax: (740) 593-0036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 34-00-5734C | Ohio |
Profile Details
| NPI number | 1871566356 |
|---|---|
| LBN Legal business name | Carlsen, Wayne R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 8th, 2009 - about 15 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 | 1871566356 | NPPES |
| Ohio | MEDICAID | 0938758 |
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