Ladner, Wayne Joseph

Ladner, Wayne Joseph is an individual health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ladner, Wayne Joseph can be contacted via phone (901) 522-7700.

Contact Information

Primary practice address
6325 Humphreys Blvd Memphis TN 38120-2300
Phone: (901) 522-7700
Fax: (901) 522-2600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00381 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1080 Tennessee

Profile Details

NPI number 1932188349
LBN Legal business name Ladner, Wayne Joseph
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Apr 5th, 2024 - about 7 months 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 1932188349 NPPES
Mississippi MEDICAID 002279015
Mississippi MEDICAID 3662114

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