Wayne L. Sodano, D.C., D.A.B.C.I.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

FI-0011052 Issued in DE

Practice address

29791 Baystone Way
Milton, DE 19968-3917

Phone

(410) 458-3133

Fax

(443) 327-4763

NPI assigned

Jan 23, 2007

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1336293489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29791 BAYSTONE WAY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683917",
            "telephone_number": "410-458-3133",
            "fax_number": "443-327-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29791 BAYSTONE WAY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683917",
            "telephone_number": "410-458-3133",
            "fax_number": "443-327-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODANO",
        "first_name": "WAYNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.I.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "DE",
            "license": "FI-0011052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "522358293",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internist Chiropractor in Milton, DE
• Providers in Milton, DE by specialty
• Internist Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.