Eberenz, Wayne Michael

Eberenz, Wayne Michael is an individual health care provider with primary practice located at 1112 E Weisgarber Rd Ste 201, Knoxville TN 37909-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Eberenz, Wayne Michael can be contacted via phone (865) 558-9862.

Contact Information

Primary practice address
1112 E Weisgarber Rd Ste 201 Knoxville TN 37909-2647
Phone: (865) 558-9862
Fax: (865) 584-3478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29883 Tennessee

Profile Details

NPI number 1396741070
LBN Legal business name Eberenz, Wayne Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 2nd, 2011 - about 13 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 1396741070 NPPES
Tennessee MEDICAID 3818137
Tennessee MEDICAID 3818136

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