Reses, Wayne
Reses, Wayne is an sole proprietor health care provider with primary practice located at 4030 Locust St , Philadelphia PA 19104-3507. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Other Service Providers / Contractor, Other Service Providers / Research Study, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Nursing Service Related Providers / Technician, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacy Technician is his primary health care specialty. Reses, Wayne can be contacted via phone (215) 463-3000.Contact Information
Primary practice address
4030 Locust St
Philadelphia PA 19104-3507
Phone: (215) 463-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | ||
| Other Service Providers / Contractor | 171W00000X | ||
| Other Service Providers / Research Study | 1744R1102X | ||
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information | 246Y00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Technician, Health Information | 247000000X | ||
| Nursing Service Related Providers / Technician | 374700000X | ||
| Pharmacy Service Providers / Pharmacy Technician | 183700000X |
Profile Details
| NPI number | 1407375215 |
|---|---|
| LBN Legal business name | Reses, Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2017 |
| 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 | 1407375215 | NPPES |
| Other | 65223 | RBBM | |
| Other | 1151213 | RBBM |
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