Mathews, Wayne Allen

Mathews, Wayne Allen is an individual health care provider with primary practice located at 250 W Kenwood Ave , Decatur IL 62526-4371. 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. Mathews, Wayne Allen can be contacted via phone (217) 872-3800.

Contact Information

Primary practice address
250 W Kenwood Ave Decatur IL 62526-4371
Phone: (217) 872-3800
Fax: (217) 872-0849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-000394 Illinois

Profile Details

NPI number 1891786943
LBN Legal business name Mathews, Wayne Allen
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Dec 12th, 2013 - about 13 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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