Hostetler, Wayne E
Hostetler, Wayne E is an individual health care provider with primary practice located at 508 W 2Nd St , Tyler TX 75701-2942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hostetler, Wayne E can be contacted via phone (903) 526-4350.Contact Information
Primary practice address
508 W 2Nd St
Tyler TX 75701-2942
Phone: (903) 526-4350
Fax: (800) 580-1493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G7662 | Texas |
Profile Details
| NPI number | 1487649844 |
|---|---|
| LBN Legal business name | Hostetler, Wayne E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Feb 24th, 2012 - about 14 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 | 1487649844 | NPPES |
| Texas | MEDICAID | 163702701 |
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