Wajima, Yutaka
Wajima, Yutaka is an individual health care provider with primary practice located at 2304 Hancock Dr Ste 4 , Austin TX 78756-2540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wajima, Yutaka can be contacted via phone (512) 407-8444.Contact Information
Primary practice address
2304 Hancock Dr Ste 4
Austin TX 78756-2540
Phone: (512) 407-8444
Fax: (512) 407-8097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J-7864 | Texas |
Profile Details
| NPI number | 1912971987 |
|---|---|
| LBN Legal business name | Wajima, Yutaka |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 3rd, 2012 - about 12 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 | 1912971987 | NPPES |
| Texas | MEDICAID | 104617903 | |
| Texas | MEDICAID | 104617904 | |
| Texas | Other | J-7864 | |
| Texas | Other | 8R7390 | |
| Texas | Other | P00305313 | |
| Texas | Other | BH9633 | |
| Texas | Other | P00211061 |
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