Babcock, Wade
Babcock, Wade is an individual health care provider with primary practice located at 1514 K 96 Highway , Great Bend KS 67530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Babcock, Wade can be contacted via phone (620) 792-4383.Contact Information
Primary practice address
1514 K 96 Highway
Great Bend KS 67530
Phone: (620) 792-4383
Fax: (620) 792-2058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1500615 | Kansas |
Profile Details
| NPI number | 1033173786 |
|---|---|
| LBN Legal business name | Babcock, Wade |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033173786 | NPPES |
| Other | P00112736 | RR MC | |
| Other | 11913 | RR MC |
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