Mckinley, James Wayne

Mckinley, James Wayne is an individual health care provider with primary practice located at 1814 Roseland Blvd , Tyler TX 75701-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mckinley, James Wayne can be contacted via phone (903) 526-8754.

Contact Information

Primary practice address
1814 Roseland Blvd Tyler TX 75701-4234
Phone: (903) 526-8754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X H4539 Texas

Profile Details

NPI number 1902896863
LBN Legal business name Mckinley, James Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jun 1st, 2011 - about 15 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 1902896863 NPPES
Texas MEDICAID 123027808

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