Hendrix, Wayne

Hendrix, Wayne is an individual health care provider with primary practice located at 1225 Fairway St , Bowling Green KY 42103-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hendrix, Wayne can be contacted via phone (270) 796-3910.

Contact Information

Primary practice address
1225 Fairway St Bowling Green KY 42103-2477
Fax: (270) 842-7177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21076 Kentucky

Profile Details

NPI number 1447254206
LBN Legal business name Hendrix, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 26th, 2012 - about 12 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 1447254206 NPPES
Kentucky Other 260003553 RAILROAD MEDICARE
Kentucky Other 50006916 RAILROAD MEDICARE
Kentucky Other 000000044746 RAILROAD MEDICARE
Kentucky MEDICAID 64210768 RAILROAD MEDICARE

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