Wayne, Ivan

Wayne, Ivan is an individual health care provider with primary practice located at 13904 Quailbrook Dr , Oklahoma City OK 73134-1718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Wayne, Ivan can be contacted via phone (405) 748-5990.

Contact Information

Primary practice address
13904 Quailbrook Dr Oklahoma City OK 73134-1718
Phone: (405) 748-5990
Fax: (405) 607-3580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22995 Oklahoma
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 22995 Oklahoma

Profile Details

NPI number 1134198260
LBN Legal business name Wayne, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 10th, 2016 - about 9 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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