Pretila, Wayne C

Pretila, Wayne C is an individual health care provider with primary practice located at 425 Lewis Hargett Cir , Lexington KY 40503-3590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pretila, Wayne C can be contacted via phone (859) 268-1030.

Contact Information

Primary practice address
425 Lewis Hargett Cir Lexington KY 40503-3590
Phone: (859) 268-1030
Fax: (859) 269-4120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01026839A Indiana

Profile Details

NPI number 1790750230
LBN Legal business name Pretila, Wayne C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jun 1st, 2016 - about 8 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 1790750230 NPPES
Indiana Other 940540UU LEGACY MEDICARE
Indiana MEDICAID 100221310 LEGACY MEDICARE

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