Smith, Wade
Smith, Wade is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Smith, Wade can be contacted via phone (415) 353-1489.Contact Information
Primary practice address
505 Parnassus Ave
San Francisco CA 94143-2204
Phone: (415) 353-1489
Fax: (415) 353-8705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G71583 | California |
Profile Details
| NPI number | 1922064377 |
|---|---|
| LBN Legal business name | Smith, Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jun 6th, 2008 - about 17 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 | 1922064377 | NPPES |
| California | MEDICAID | 0G7158300 |
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