Siegel, Wayne G
Siegel, Wayne G is an individual health care provider with primary practice located at 1030 President Ave , Fall River MA 02720-5923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Siegel, Wayne G can be contacted via phone (508) 679-6833.Contact Information
Primary practice address
1030 President Ave
Fall River MA 02720-5923
Phone: (508) 679-6833
Fax: (508) 678-2200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 58988 | Massachusetts |
Profile Details
| NPI number | 1720062599 |
|---|---|
| LBN Legal business name | Siegel, Wayne G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1720062599 | NPPES |
| Massachusetts | MEDICAID | 3031501 |
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