Wafer, Martha R
Wafer, Martha R is an individual health care provider with primary practice located at 5400 E. Texas St , Bossier City LA 71111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wafer, Martha R can be contacted via phone (318) 675-1313.Contact Information
Primary practice address
5400 E. Texas St
Bossier City LA 71111
Phone: (318) 675-1313
Fax: (888) 965-0619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 026448 | Louisiana |
Profile Details
| NPI number | 1619179421 |
|---|---|
| LBN Legal business name | Wafer, Martha R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Dec 15th, 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 | 1619179421 | NPPES |
| Louisiana | MEDICAID | 05981 |
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