Sebastianelli, Wayne J

Sebastianelli, Wayne J is an individual health care provider with primary practice located at 1850 E Park Ave Suite 112, State College PA 16803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sebastianelli, Wayne J can be contacted via phone (814) 865-3566.

Contact Information

Primary practice address
1850 E Park Ave Suite 112 State College PA 16803
Phone: (814) 865-3566
Fax: (814) 863-7803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MD040932E Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD040932E Pennsylvania

Profile Details

NPI number 1730143736
LBN Legal business name Sebastianelli, Wayne J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 6th, 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 1730143736 NPPES
Pennsylvania MEDICAID 0011279080003

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