Hostler, Wayne Matthew

Hostler, Wayne Matthew is an individual health care provider with primary practice located at 2050 Meadowview Pkwy , Kingsport TN 37660-7332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hostler, Wayne Matthew can be contacted via phone (423) 230-5000.

Contact Information

Primary practice address
2050 Meadowview Pkwy Kingsport TN 37660-7332
Phone: (423) 230-5000
Fax: (423) 230-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1268 Tennessee

Profile Details

NPI number 1164441598
LBN Legal business name Hostler, Wayne Matthew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 13th, 2007 - about 18 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 1164441598 NPPES
Tennessee MEDICAID 010236193
Tennessee Other 0182
Tennessee Other 4108134

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