Maben, Wayne
Maben, Wayne is an individual health care provider with primary practice located at 71 Prospect Ave Suite 190, Hudson NY 12534-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maben, Wayne can be contacted via phone (518) 697-3000.Contact Information
Primary practice address
71 Prospect Ave Suite 190
Hudson NY 12534-2907
Phone: (518) 697-3000
Fax: (518) 697-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 162127 | New York |
Profile Details
| NPI number | 1306899919 |
|---|---|
| LBN Legal business name | Maben, Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306899919 | NPPES |
| New York | MEDICAID | 00969228 |
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