Waterman, Wayne Robert

Waterman, Wayne Robert is an individual health care provider with primary practice located at 417 State St Suite 221, Bangor ME 04401-6630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Waterman, Wayne Robert can be contacted via phone (207) 973-9949.

Contact Information

Primary practice address
417 State St Suite 221 Bangor ME 04401-6630
Phone: (207) 973-9949
Fax: (207) 973-9555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X DO2140 Maine

Profile Details

NPI number 1457359226
LBN Legal business name Waterman, Wayne Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Apr 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457359226 NPPES
Pennsylvania Other 2403288000 KEYSTONE HEALTH PLAN EAST
Pennsylvania Other 1562320 KEYSTONE HEALTH PLAN EAST
Pennsylvania MEDICAID 1013050100001 KEYSTONE HEALTH PLAN EAST
Pennsylvania Other 1736339 KEYSTONE HEALTH PLAN EAST
Pennsylvania Other 30025514 KEYSTONE HEALTH PLAN EAST
Pennsylvania Other 7414717 KEYSTONE HEALTH PLAN EAST
Pennsylvania Other 1092089 KEYSTONE HEALTH PLAN EAST

Popular Providers