Wasemiller, Wayne Lee

Wasemiller, Wayne Lee is an individual health care provider with primary practice located at 4120 W Memorial Rd Suite 218, Oklahoma City OK 73120-9320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wasemiller, Wayne Lee can be contacted via phone (405) 302-2661.

Contact Information

Primary practice address
4120 W Memorial Rd Suite 218 Oklahoma City OK 73120-9320
Fax: (405) 302-2670
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10843 Oklahoma

Profile Details

NPI number 1396717310
LBN Legal business name Wasemiller, Wayne Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 10th, 2016 - about 8 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 1396717310 NPPES
Oklahoma MEDICAID 100129160A

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