Luckenbill, Wayne P
Luckenbill, Wayne P is an individual health care provider with primary practice located at 2500 Bernville Rd , Reading PA 19605-9453. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Luckenbill, Wayne P can be contacted via phone (610) 378-2996.Contact Information
Primary practice address
2500 Bernville Rd
Reading PA 19605-9453
Phone: (610) 378-2996
Fax: (610) 208-8812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | OA002527 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA002432L | Pennsylvania |
Profile Details
| NPI number | 1427377027 |
|---|---|
| LBN Legal business name | Luckenbill, Wayne P |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2010 |
| Last updated | Jan 8th, 2016 - about 10 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 | 1427377027 | NPPES |
| Pennsylvania | Other | OA002527 | LICENSE |
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