Leslie, Thomas Wade
Leslie, Thomas Wade is an individual health care provider with primary practice located at 345 Concord , Berkeley Springs WV 25411. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leslie, Thomas Wade can be contacted via phone (304) 258-2291.Contact Information
Primary practice address
345 Concord
Berkeley Springs WV 25411
Phone: (304) 258-2291
Fax: (304) 258-8188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2484 | West Virginia |
Profile Details
| NPI number | 1952482945 |
|---|---|
| LBN Legal business name | Leslie, Thomas Wade |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1952482945 | NPPES |
| West Virginia | MEDICAID | 0136367000 |
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