Ladner, Wayne Joseph
Ladner, Wayne Joseph is an individual health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ladner, Wayne Joseph can be contacted via phone (901) 522-7700.Contact Information
Primary practice address
6325 Humphreys Blvd
Memphis TN 38120-2300
Phone: (901) 522-7700
Fax: (901) 522-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00381 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1080 | Tennessee |
Profile Details
| NPI number | 1932188349 |
|---|---|
| LBN Legal business name | Ladner, Wayne Joseph |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Mar 13th, 2026 - about 8 months 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 | 1932188349 | NPPES |
| Mississippi | MEDICAID | 002279015 | |
| Mississippi | MEDICAID | 3662114 |
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