Morton, Wayne L
Morton, Wayne L is an sole proprietor health care provider with primary practice located at 101 Giesler Drive , Osceola MO 64776-6297. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Morton, Wayne L can be contacted via phone (417) 646-8123.Contact Information
Primary practice address
101 Giesler Drive
Osceola MO 64776-6297
Phone: (417) 646-8123
Fax: (417) 646-8911
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R6098 | Missouri |
Suppliers / Non-Pharmacy Dispensing Site | 332900000X | R6098 | Missouri |
Profile Details
NPI number | 1669413886 |
---|---|
LBN Legal business name | Morton, Wayne L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1669413886 | NPPES |
Missouri | MEDICAID | 600578918 | |
Missouri | MEDICAID | 200578920 | |
Missouri | Other | 33471 | |
Missouri | Other | 04840042 | |
Missouri | Other | 328760 | |
Missouri | Other | 129236 |
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