Thomas G. Wayne M.D., P.L.L.C.

LBN: Thomas G. Wayne M.D., P.L.L.C.
Thomas G. Wayne M.D., P.L.L.C. is an health care organization with primary practice located at 4150 S River Rd Suite1, East China MI 48054-2915. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Thomas G. Wayne M.D., P.L.L.C. can be contacted via phone (810) 326-0858, or through Wayne, Thomas G via phone (810) 326-0858.

Contact Information

Primary practice address
4150 S River Rd Suite1 East China MI 48054-2915
Phone: (810) 326-0858
Fax: (810) 326-0933
Website:
Map and Directions
Authorized official contact:
Name: Wayne, Thomas G Doctor of Medicine (MD)
Phone: (810) 326-0858

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047530 Michigan

Profile Details

NPI number 1508167206
LBN Legal business name Thomas G. Wayne M.D., P.L.L.C.
DBA Doing business as
Authorized official Wayne, Thomas G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2010
Last updated Nov 11th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508167206 NPPES
Other ON22610 MEDICARE ID-TYPE UNSPECIFIED
Other 0807408272 MEDICARE ID-TYPE UNSPECIFIED
MEDICAID 4277711 MEDICARE ID-TYPE UNSPECIFIED

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