Chancellor, William Wade
Chancellor, William Wade is an sole proprietor health care provider with primary practice located at 9 N Lee St , Forsyth GA 31029-2114. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Chancellor, William Wade can be contacted via phone (478) 258-3838.Contact Information
Primary practice address
9 N Lee St
Forsyth GA 31029-2114
Phone: (478) 258-3838
Fax: (478) 993-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | LDO0002590 | Georgia |
Profile Details
| NPI number | 1245747906 |
|---|---|
| LBN Legal business name | Chancellor, William Wade |
| Credentials | LDO,ABOC,NCLEC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2018 |
| Last updated | May 28th, 2021 - about 4 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 | 1245747906 | NPPES |
| Georgia | Other | LDO002590 | LICENSED DISPENSING OPTICIAN |
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