Provider Demographics
NPI:1700956554
Name:ALBAIN, WAYNE R (DC)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:R
Last Name:ALBAIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 498746
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8746
Mailing Address - Country:US
Mailing Address - Phone:937-655-8600
Mailing Address - Fax:937-655-8899
Practice Address - Street 1:120 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-8756
Practice Address - Country:US
Practice Address - Phone:937-655-8600
Practice Address - Fax:937-655-8899
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9343641Medicare ID - Type Unspecified
OHT48340Medicare UPIN