Babcock, Wayne Russell

Babcock, Wayne Russell is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Babcock, Wayne Russell can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN17208 Tennessee

Profile Details

NPI number 1548506827
LBN Legal business name Babcock, Wayne Russell
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated May 15th, 2017 - about 9 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 1548506827 NPPES
Kentucky MEDICAID 7100260170
Kentucky Other 6053298
Kentucky MEDICAID Q000589

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