Frederick, Wayne Ai
Frederick, Wayne Ai is an individual health care provider with primary practice located at 2041 Georgia Ave Nw Ste 4000, Washington DC 20060-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Frederick, Wayne Ai can be contacted via phone (202) 865-6237.Contact Information
Primary practice address
2041 Georgia Ave Nw Ste 4000
Washington DC 20060-0001
Phone: (202) 865-6237
Fax: (860) 679-1390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | MD30905 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD30905 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 041334 | Connecticut |
Profile Details
| NPI number | 1962408252 |
|---|---|
| LBN Legal business name | Frederick, Wayne Ai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Sep 23rd, 2019 - about 6 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 | 1962408252 | NPPES |
| Virginia | MEDICAID | 010266505 | |
| Virginia | MEDICAID | 037841900 | |
| Virginia | MEDICAID | 410159600 |
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