Grundmeyer, Wayne Alvin
Grundmeyer, Wayne Alvin is an sole proprietor health care provider with primary practice located at 120 Meadowcrest St #220, Gretna LA 70056-5255. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Grundmeyer, Wayne Alvin can be contacted via phone (504) 391-7595.Contact Information
Primary practice address
120 Meadowcrest St #220
Gretna LA 70056-5255
Phone: (504) 391-7595
Fax: (504) 391-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD 014877 | Louisiana |
Profile Details
| NPI number | 1801903042 |
|---|---|
| LBN Legal business name | Grundmeyer, Wayne Alvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1801903042 | NPPES |
| Louisiana | MEDICAID | 1324299 |
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