Cordova, Sherdon Wade
Cordova, Sherdon Wade is an individual health care provider with primary practice located at 614 Laurel Dr , Saint Joseph IL 61873-9402. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cordova, Sherdon Wade can be contacted via phone (217) 383-3289.Contact Information
Primary practice address
614 Laurel Dr
Saint Joseph IL 61873-9402
Phone: (217) 383-3289
Fax: (217) 383-7071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019.026964 | Illinois |
Profile Details
| NPI number | 1568594638 |
|---|---|
| LBN Legal business name | Cordova, Sherdon Wade |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 4th, 2011 - about 13 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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