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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1366087801 NPPES
Washington Other HA60804937 HEARING INSTRUMENT SPECIALIST

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