Adams, Wayne

Adams, Wayne is an sole proprietor health care provider with primary practice located at 1306 Kansas St , Fairfield CA 94533-4710. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Adams, Wayne can be contacted via phone (707) 718-0147.

Contact Information

Primary practice address
1306 Kansas St Fairfield CA 94533-4710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X R1204660615 California

Profile Details

NPI number 1306215108
LBN Legal business name Adams, Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2015
Last updated Sep 22nd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306215108 NPPES
California Other A9943653 CALIFORNIA DRIVERS LICENSE

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