Chambers, Wayne A

Chambers, Wayne A is an sole proprietor health care provider with primary practice located at 29809 E River Rd , Grosse Ile MI 48138-1935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chambers, Wayne A can be contacted via phone (734) 676-1861.

Contact Information

Primary practice address
29809 E River Rd Grosse Ile MI 48138-1935
Phone: (734) 676-1861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD430318 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301055158 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35061084 Ohio

Profile Details

NPI number 1235172669
LBN Legal business name Chambers, Wayne A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Dec 30th, 2013 - about 11 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 1235172669 NPPES
Ohio MEDICAID 0812400
Ohio Other 300067305 1063493948
Ohio MEDICAID 3427215-10

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