Dewri, Wayne T.

Dewri, Wayne T. is an sole proprietor health care provider with primary practice located at 10430 Rhondda St , Redlands CA 92374-2881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Dewri, Wayne T. can be contacted via phone (909) 796-8206.

Contact Information

Primary practice address
10430 Rhondda St Redlands CA 92374-2881
Phone: (909) 796-8206
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X PA 18316 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18316 California

Profile Details

NPI number 1467584532
LBN Legal business name Dewri, Wayne T.
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467584532 NPPES
California MEDICAID 1467584532

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