Wayne, Douglas A
Wayne, Douglas A is an individual health care provider with primary practice located at 7858 Shrader Rd , Richmond VA 23294-4222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wayne, Douglas A can be contacted via phone (804) 270-1305.Contact Information
Primary practice address
7858 Shrader Rd
Richmond VA 23294-4222
Phone: (804) 270-1305
Fax: (804) 273-9294
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101036800 | Virginia |
Profile Details
NPI number | 1912975129 |
---|---|
LBN Legal business name | Wayne, Douglas A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Sep 17th, 2020 - about 4 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 | 1912975129 | NPPES |
Virginia | MEDICAID | 6801668 |
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