Koontz, Wayne Carson

Koontz, Wayne Carson is an individual health care provider with primary practice located at 129 Woodson St , Salisbury NC 28144-3255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Koontz, Wayne Carson can be contacted via phone (704) 636-5576.

Contact Information

Primary practice address
129 Woodson St Salisbury NC 28144-3255
Phone: (704) 636-5576
Fax: (704) 636-1755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 14494 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14494 North Carolina

Profile Details

NPI number 1013008036
LBN Legal business name Koontz, Wayne Carson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 12th, 2013 - about 11 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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