Waynik, Mark
Waynik, Mark is an individual health care provider with primary practice located at 52 Beach Rd Suite 104, Fairfield CT 06824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Waynik, Mark can be contacted via phone (203) 254-2000.Contact Information
Primary practice address
52 Beach Rd Suite 104
Fairfield CT 06824
Phone: (203) 254-2000
Fax: (203) 255-3126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 024277 | Connecticut |
Profile Details
| NPI number | 1588738256 |
|---|---|
| LBN Legal business name | Waynik, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Oct 18th, 2012 - about 12 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 | 1588738256 | NPPES |
| Connecticut | MEDICAID | 1242775 |
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