Sliwa, Wayne Michael

Sliwa, Wayne Michael is an individual health care provider with primary practice located at 2102 E 38Th St , Davenport IA 52807. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sliwa, Wayne Michael can be contacted via phone (563) 359-4049.

Contact Information

Primary practice address
2102 E 38Th St Davenport IA 52807
Phone: (563) 359-4049
Fax: (563) 359-4069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00402 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071-002353 Illinois

Profile Details

NPI number 1215957618
LBN Legal business name Sliwa, Wayne Michael
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 12th, 2013 - about 12 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 1215957618 NPPES
Iowa MEDICAID 0012096

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