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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154508976 | NPPES |
Oklahoma | MEDICAID | 200135230A |
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