Dysinger, Wayne

Dysinger, Wayne is an individual health care provider with primary practice located at 4368 Central Ave , Riverside CA 92506-2918. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dysinger, Wayne can be contacted via phone (951) 742-7324.

Contact Information

Primary practice address
4368 Central Ave Riverside CA 92506-2918
Phone: (951) 742-7324
Fax: (951) 394-7267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G72154 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G72154 California

Profile Details

NPI number 1023121837
LBN Legal business name Dysinger, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 6th, 2020 - 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 1023121837 NPPES
California MEDICAID 00G721540

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