Smith, Wade Raymond

Smith, Wade Raymond is an individual health care provider with primary practice located at 4367 Nw American Ln , Lake City FL 32055-4828. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Wade Raymond can be contacted via phone (386) 758-1841.

Contact Information

Primary practice address
4367 Nw American Ln Lake City FL 32055-4828
Phone: (386) 758-1841
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AL 1072 Florida

Profile Details

NPI number 1326011883
LBN Legal business name Smith, Wade Raymond
Credentials ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 18 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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