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
Phone: (605) 226-2663
Fax: (605) 226-2663
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619959236 | NPPES |
| South Dakota | MEDICAID | 6823642 |
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