White, Wayne Barlow

White, Wayne Barlow is an sole proprietor health care provider with primary practice located at 1473 E State Road 44 Ste 5 , Connersville IN 47331-8292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Wayne Barlow can be contacted via phone (765) 825-0511.

Contact Information

Primary practice address
1473 E State Road 44 Ste 5 Connersville IN 47331-8292
Fax: (765) 827-1247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01032858 Indiana

Profile Details

NPI number 1124001458
LBN Legal business name White, Wayne Barlow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Dec 9th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124001458 NPPES
Indiana MEDICAID 100115050
Indiana Other 000000605660

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