Augustyniak, Wayne Gerard
Augustyniak, Wayne Gerard is an individual health care provider with primary practice located at 2889 South 11Th Street , Kalamazoo MI 49009-2123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Augustyniak, Wayne Gerard can be contacted via phone (269) 343-1247.Contact Information
Primary practice address
2889 South 11Th Street
Kalamazoo MI 49009-2123
Phone: (269) 343-1247
Fax: (269) 343-6661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601001009 | Michigan |
Profile Details
| NPI number | 1912999012 |
|---|---|
| LBN Legal business name | Augustyniak, Wayne Gerard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Dec 2nd, 2010 - about 16 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 | 1912999012 | NPPES |
| Michigan | Other | 5601001009 | STATE LICENCE NUMBER |
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