Bittle, Wade

Bittle, Wade is an individual health care provider with primary practice located at 1102 W Macarthur St , Shawnee OK 74804-1743. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bittle, Wade can be contacted via phone (405) 273-2270.

Contact Information

Primary practice address
1102 W Macarthur St Shawnee OK 74804-1743
Phone: (405) 273-2270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1681 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1681 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1681 Oklahoma

Profile Details

NPI number 1154508976
LBN Legal business name Bittle, Wade
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jan 12th, 2009 - about 15 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 1154508976 NPPES
Oklahoma MEDICAID 200135230A

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