Moody, Wayne A.

Moody, Wayne A. is an individual health care provider with primary practice located at 2 Great Falls Plz Suite 21, Auburn ME 04210-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moody, Wayne A. can be contacted via phone (207) 333-4710.

Contact Information

Primary practice address
2 Great Falls Plz Suite 21 Auburn ME 04210-5966
Phone: (207) 333-4710
Fax: (207) 333-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 011739 Maine

Profile Details

NPI number 1366447591
LBN Legal business name Moody, Wayne A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 12th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366447591 NPPES
Other DX4496 NEW MEDICARE PTAN
Other 010416156 NEW MEDICARE PTAN
Other 0378600001 NEW MEDICARE PTAN
Other 200009601 NEW MEDICARE PTAN
Other D03588 NEW MEDICARE PTAN
Other M4231 NEW MEDICARE PTAN
Other MM0716 NEW MEDICARE PTAN
Other 270310099 NEW MEDICARE PTAN
Other 001862 NEW MEDICARE PTAN
Other 015612 NEW MEDICARE PTAN
Other 1044480 NEW MEDICARE PTAN
Other 100294000 NEW MEDICARE PTAN
Other 201017 NEW MEDICARE PTAN

Popular Providers