Rodenmayer, Wade

Rodenmayer, Wade is an individual health care provider with primary practice located at 409 Maple Ave , Saratoga Springs NY 12866-5502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rodenmayer, Wade can be contacted via phone (518) 584-1656.

Contact Information

Primary practice address
409 Maple Ave Saratoga Springs NY 12866-5502
Phone: (518) 584-1656
Fax: (518) 584-1822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012187 New York

Profile Details

NPI number 1225227762
LBN Legal business name Rodenmayer, Wade
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Sep 4th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225227762 NPPES
New York Other P00621563 RR MEDICARE

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