Dotson, Wayne Anthony
Dotson, Wayne Anthony is an sole proprietor health care provider with primary practice located at 907 E Sunflower Rd Suite 102, Cleveland MS 38732-2830. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dotson, Wayne Anthony can be contacted via phone (662) 843-8880.Contact Information
Primary practice address
907 E Sunflower Rd Suite 102
Cleveland MS 38732-2830
Phone: (662) 843-8880
Fax: (662) 843-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16994 | Mississippi |
Profile Details
| NPI number | 1184684375 |
|---|---|
| LBN Legal business name | Dotson, Wayne Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Sep 4th, 2007 - about 18 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 | 1184684375 | NPPES |
| Mississippi | MEDICAID | 00123301 |
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