Christopher, Wade
Christopher, Wade is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Christopher, Wade can be contacted via phone (601) 815-1292.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 815-1292
Fax: (601) 984-5110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A167390 | California |
Profile Details
| NPI number | 1205220217 |
|---|---|
| LBN Legal business name | Christopher, Wade |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2015 |
| Last updated | Sep 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205220217 | NPPES |
| Mississippi | MEDICAID | 01739501 |
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