Old, Wayne D

Old, Wayne D is an individual health care provider with primary practice located at 612 Kingsborough Sq Suite 100, Chesapeake VA 23320-5041. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Old, Wayne D can be contacted via phone (757) 547-9294.

Contact Information

Primary practice address
612 Kingsborough Sq Suite 100 Chesapeake VA 23320-5041
Fax: (757) 213-9374
Website:

Health care specialties

Profile Details

NPI number 1336115799
LBN Legal business name Old, Wayne D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 3rd, 2018 - about 6 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 1336115799 NPPES
Virginia MEDICAID 006010393
Virginia Other PAR
Virginia Other PAR
Virginia Other -001
Virginia Other 0570R
Virginia Other 15071
Virginia MEDICAID 006059066
Virginia Other 250366
Virginia Other 259544
Virginia Other PAR
Virginia MEDICAID 890570R
Virginia Other PAR
Virginia Other PAR
Virginia Other 263654
Virginia Other 75288
Virginia Other PAR
Virginia Other PAR
Virginia Other PAR
Virginia Other PAR

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