Nelson, Wayne K.

Nelson, Wayne K. is an individual health care provider with primary practice located at 1550 Ne 27Th St Ste 100 , Bend OR 97701-7728. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Nelson, Wayne K. can be contacted via phone (541) 313-8111.

Contact Information

Primary practice address
1550 Ne 27Th St Ste 100 Bend OR 97701-7728
Phone: (541) 313-8111
Fax: (541) 313-8112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X N1798 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD161330 Oregon

Profile Details

NPI number 1992909766
LBN Legal business name Nelson, Wayne K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Sep 17th, 2020 - about 4 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 1992909766 NPPES
Texas Other DPS F0163850 TEXAS DPS NUMBER
Texas Other P01229162 TEXAS DPS NUMBER
Texas MEDICAID 500659802 TEXAS DPS NUMBER
Texas Other N1798 TEXAS DPS NUMBER
Texas Other MD161330 TEXAS DPS NUMBER

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