Leimbach, Wayne N

Leimbach, Wayne N is an individual health care provider with primary practice located at 1265 S Utica Ave Suite 300, Tulsa OK 74104-4243. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Leimbach, Wayne N can be contacted via phone (918) 592-0999.

Contact Information

Primary practice address
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243
Fax: (918) 592-1021
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15626 Oklahoma
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 15626 Oklahoma

Profile Details

NPI number 1093785933
LBN Legal business name Leimbach, Wayne N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 19th, 2014 - 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 1093785933 NPPES
Oklahoma Other OK400771 MEDICARE PTAN
Oklahoma Other P00611409 MEDICARE PTAN
Oklahoma MEDICAID 100055940A MEDICARE PTAN
Oklahoma Other 060007755 MEDICARE PTAN

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