Luckenbill, Wayne P

Luckenbill, Wayne P is an individual health care provider with primary practice located at 2500 Bernville Rd , Reading PA 19605-9453. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Luckenbill, Wayne P can be contacted via phone (610) 378-2996.

Contact Information

Primary practice address
2500 Bernville Rd Reading PA 19605-9453
Phone: (610) 378-2996
Fax: (610) 208-8812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X OA002527 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA002432L Pennsylvania

Profile Details

NPI number 1427377027
LBN Legal business name Luckenbill, Wayne P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2010
Last updated Jan 8th, 2016 - about 9 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 1427377027 NPPES
Pennsylvania Other OA002527 LICENSE

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