Myles, Wayne J
Myles, Wayne J is an individual health care provider with primary practice located at 3851 N River Rd , West Lafayette IN 47906-3762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Myles, Wayne J can be contacted via phone (317) 988-1772.Contact Information
Primary practice address
3851 N River Rd
West Lafayette IN 47906-3762
Phone: (317) 988-1772
Fax: (317) 988-5631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1717 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006715 | Ohio |
Profile Details
| NPI number | 1568483907 |
|---|---|
| LBN Legal business name | Myles, Wayne J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jan 13th, 2021 - about 3 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 | 1568483907 | NPPES |
| Ohio | MEDICAID | 2039654 | |
| Ohio | Other | P00787559 | |
| Ohio | Other | 292801 | |
| Ohio | MEDICAID | 5630064000 | |
| Ohio | Other | 310917085219 | |
| Ohio | Other | 2039654 |
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