Anderson-Wade, Conner

Anderson-Wade, Conner is an individual health care provider with primary practice located at 1628 Springfield St , Dayton OH 45403-1430. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Anderson-Wade, Conner can be contacted via phone (937) 802-5440.

Contact Information

Primary practice address
1628 Springfield St Dayton OH 45403-1430
Phone: (937) 802-5440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1932867868
LBN Legal business name Anderson-Wade, Conner
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2021
Last updated Dec 8th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932867868 NPPES
Ohio MEDICAID 0411413

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