Chamberlain, Wayne

Chamberlain, Wayne is an sole proprietor health care provider with primary practice located at 7232 Justin Way , Mentor OH 44060-4881. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Peer Specialist is his primary health care specialty. Chamberlain, Wayne can be contacted via phone (440) 578-8200.

Contact Information

Primary practice address
7232 Justin Way Mentor OH 44060-4881
Phone: (440) 578-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X 741 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.173104 Ohio

Profile Details

NPI number 1750850293
LBN Legal business name Chamberlain, Wayne
Credentials CPSS, CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2018
Last updated Jun 6th, 2021 - about 4 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 1750850293 NPPES
Ohio MEDICAID 0439292

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