Mcdermott, Wayne Michael
Mcdermott, Wayne Michael is an sole proprietor health care provider with primary practice located at 1543 Amberley Forest Road , Virginia Beach VA 23453. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Mcdermott, Wayne Michael can be contacted via phone (757) 471-7700.Contact Information
Primary practice address
1543 Amberley Forest Road
Virginia Beach VA 23453
Phone: (757) 471-7700
Fax: (757) 471-9541
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101037511 | Virginia |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 0101037511 | Virginia |
Profile Details
NPI number | 1578523825 |
---|---|
LBN Legal business name | Mcdermott, Wayne Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2006 |
Last updated | Sep 21st, 2007 - about 18 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 | 1578523825 | NPPES |
Virginia | Other | 056754 | ANTHEM |
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