Wayne A. Formica

LBN: Wayne A. Formica
Wayne A. Formica is an health care organization with primary practice located at 2055 W Fruit Tree Ln , Queen Creek AZ 85242-6356. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Wayne A. Formica can be contacted via phone (480) 677-4804, or through Formica, Wayne Arthur via phone (480) 677-4804.

Contact Information

Primary practice address
2055 W Fruit Tree Ln Queen Creek AZ 85242-6356
Fax: (480) 677-4804
Website:
Authorized official contact:
Name: Formica, Wayne Arthur Licensed Professional Counselor (LPC)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LPC 10413 Arizona

Profile Details

NPI number 1902092422
LBN Legal business name Wayne A. Formica
DBA Doing business as
Authorized official Formica, Wayne Arthur Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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