Smith, Wade G

Smith, Wade G is an individual health care provider with primary practice located at 1343 N Fountain Blvd , Springfield OH 45504-1422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Wade G can be contacted via phone (937) 390-5000.

Contact Information

Primary practice address
1343 N Fountain Blvd Springfield OH 45504-1422
Phone: (937) 390-5000
Fax: (937) 390-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34007103S Ohio

Profile Details

NPI number 1023060373
LBN Legal business name Smith, Wade G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023060373 NPPES
Ohio Other 000000315976 ANTHEM
Ohio Other 000000548866 ANTHEM
Ohio Other P00054518 ANTHEM
Ohio Other 000000302741 ANTHEM
Ohio MEDICAID 2126658 ANTHEM
Ohio Other 000000543484 ANTHEM
Ohio MEDICAID 200915100 ANTHEM

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