Waynik, Myra
Waynik, Myra is an individual health care provider with primary practice located at 3715 Main St Suite 200, Bridgeport CT 06606-3618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Waynik, Myra can be contacted via phone (203) 372-4065.Contact Information
Primary practice address
3715 Main St Suite 200
Bridgeport CT 06606-3618
Phone: (203) 372-4065
Fax: (203) 372-1644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 019920 | Connecticut |
Profile Details
| NPI number | 1841259827 |
|---|---|
| LBN Legal business name | Waynik, Myra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | May 31st, 2013 - about 11 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 | 1841259827 | NPPES |
| Connecticut | MEDICAID | 001199207 |
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