Wallender, Wayne

Wallender, Wayne is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Wallender, Wayne can be contacted via phone (417) 875-3095.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3095
Fax: (417) 875-3570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X R1P10 Missouri
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X R1P10 Missouri

Profile Details

NPI number 1710927132
LBN Legal business name Wallender, Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 27th, 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 1710927132 NPPES
Missouri Other P01382375 RR PTAN
Missouri MEDICAID 243003100 RR PTAN
Missouri MEDICAID 1710927132 RR PTAN

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