Chen, Wayne
Chen, Wayne is an individual health care provider with primary practice located at 10045 W Lisbon Ave , Wauwatosa WI 53222. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Chen, Wayne can be contacted via phone (414) 358-7144.Contact Information
Primary practice address
10045 W Lisbon Ave
Wauwatosa WI 53222
Phone: (414) 358-7144
Fax: (414) 358-7158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3429-57 | Wisconsin |
Profile Details
| NPI number | 1710274691 |
|---|---|
| LBN Legal business name | Chen, Wayne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2011 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1710274691 | NPPES |
| Wisconsin | MEDICAID | 100034875 |
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