Waxman, David L
Waxman, David L is an sole proprietor health care provider with primary practice located at 527 Medical Park Dr Ste 400 , Bridgeport WV 26330-9010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Waxman, David L can be contacted via phone (681) 342-3550.Contact Information
Primary practice address
527 Medical Park Dr Ste 400
Bridgeport WV 26330-9010
Phone: (681) 342-3550
Fax: (681) 342-3507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 14240 | West Virginia |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 14240 | West Virginia |
Profile Details
| NPI number | 1174563092 |
|---|---|
| LBN Legal business name | Waxman, David L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Apr 5th, 2022 - about 3 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 | 1174563092 | NPPES |
| West Virginia | Other | WV2679A | MEDICARE PTAN |
| West Virginia | MEDICAID | 0097123000 | MEDICARE PTAN |
| West Virginia | Other | 1362317 | MEDICARE PTAN |
| West Virginia | Other | 200004627 | MEDICARE PTAN |
| West Virginia | Other | 001720802 | MEDICARE PTAN |
| West Virginia | Other | WV14240B | MEDICARE PTAN |
Popular Providers
-
Fisher, Steven E
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Jennings, Jerome Edwin
1345 Westgate Center Dr Suite B, Winston Salem NC 27103-3040 -
Mcgowen, Jeffrey L
6301 Harris Pkwy Ste 300 , Fort Worth TX 76132-4249 -
Tandron, Carlos R.
1325 San Marco Blvd Suite 200, Jacksonville FL 32207-8559 -
Graham, Angus Woodward
44 Elks Club Rd , Brevard NC 28712-3514 -
Loniewski, Edward Gerard
28455 Haggerty Rd Ste 200 , Novi MI 48377-2982 -
Gersten, Larry Marc
24331 El Toro Rd Ste 200 , Laguna Woods CA 92637-3116 -
Lyons, Christopher Joseph
479 Thomas Jones Way Ste 300, Exton PA 19341-2580