Washenberger, Wayne L

Washenberger, Wayne L is an individual health care provider with primary practice located at 701 8Th Ave Nw Ste A , Aberdeen SD 57401-1865. 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. Washenberger, Wayne L can be contacted via phone (605) 226-2663.

Contact Information

Primary practice address
701 8Th Ave Nw Ste A Aberdeen SD 57401-1865
Fax: (605) 226-2663
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0497 South Dakota

Profile Details

NPI number 1619959236
LBN Legal business name Washenberger, Wayne L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 15th, 2009 - about 17 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 1619959236 NPPES
South Dakota MEDICAID 6823642

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