Samford, Wade Rix
Samford, Wade Rix is an individual health care provider with primary practice located at 11020 Optum Cir , Eden Prairie MN 55344-2503. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Samford, Wade Rix can be contacted via phone (855) 823-9355.Contact Information
Primary practice address
11020 Optum Cir
Eden Prairie MN 55344-2503
Phone: (855) 823-9355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA60804937 | Washington |
Profile Details
| NPI number | 1366087801 |
|---|---|
| LBN Legal business name | Samford, Wade Rix |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Nov 7th, 2019 - about 7 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 | 1366087801 | NPPES |
| Washington | Other | HA60804937 | HEARING INSTRUMENT SPECIALIST |
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