Easter, Wayne M

Easter, Wayne M is an sole proprietor health care provider with primary practice located at 5265 Providence Rd. Suite 500, Virginia Beach VA 23464-4445. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Easter, Wayne M can be contacted via phone (757) 354-5379.

Contact Information

Primary practice address
5265 Providence Rd. Suite 500 Virginia Beach VA 23464-4445
Phone: (757) 354-5379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102403 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904007328 Virginia

Profile Details

NPI number 1891924247
LBN Legal business name Easter, Wayne M
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated May 4th, 2017 - 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.

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