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
Fax: (757) 471-9541
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578523825 NPPES
Virginia Other 056754 ANTHEM

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