Leadbetter, Wayne Bruce

Leadbetter, Wayne Bruce is an individual health care provider with primary practice located at 13 Western Maryland Parkway Suite 104, Hagerstown MD 21740-5146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Leadbetter, Wayne Bruce can be contacted via phone (301) 665-4575.

Contact Information

Primary practice address
13 Western Maryland Parkway Suite 104 Hagerstown MD 21740-5146
Phone: (301) 665-4575
Fax: (301) 665-4576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0012569 Maryland

Profile Details

NPI number 1447293949
LBN Legal business name Leadbetter, Wayne Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 6th, 2015 - about 10 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 1447293949 NPPES
Other P00900627 RR MEDICARE
MEDICAID 372181700 RR MEDICARE

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