Smith, Wade Michael

Smith, Wade Michael is an individual health care provider with primary practice located at 1601 Avocado Ave , Newport Beach CA 92660-7798. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, Wade Michael can be contacted via phone (949) 763-2204.

Contact Information

Primary practice address
1601 Avocado Ave Newport Beach CA 92660-7798
Phone: (949) 763-2204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A93190 California

Profile Details

NPI number 1730240219
LBN Legal business name Smith, Wade Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Dec 2nd, 2020 - about 4 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 1730240219 NPPES
California Other A93190 STATE LICENSE

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