Wease, Gary Lane
Wease, Gary Lane is an individual health care provider with primary practice located at 201 S. Arkansas Street , Leesville LA 71446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wease, Gary Lane can be contacted via phone (337) 239-7227.Contact Information
Primary practice address
201 S. Arkansas Street
Leesville LA 71446
Phone: (337) 239-7227
Fax: (337) 238-4922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 339940 | Louisiana |
Profile Details
| NPI number | 1538200381 |
|---|---|
| LBN Legal business name | Wease, Gary Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | May 30th, 2024 - about 2 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 | 1538200381 | NPPES |
| Louisiana | MEDICAID | 3434512 | |
| Louisiana | MEDICAID | 2649345 |
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