Fornander, Wade
Fornander, Wade is an individual health care provider with primary practice located at 4600 Valley Rd , Lincoln NE 68510-4855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fornander, Wade can be contacted via phone (402) 483-4571.Contact Information
Primary practice address
4600 Valley Rd
Lincoln NE 68510-4855
Phone: (402) 483-4571
Fax: (308) 344-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22563 | Nebraska |
Profile Details
| NPI number | 1053383554 |
|---|---|
| LBN Legal business name | Fornander, Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 21st, 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 | 1053383554 | NPPES |
| Nebraska | MEDICAID | 470748011-12 |
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