Vansice, Wade Clark
Vansice, Wade Clark is an individual health care provider with primary practice located at 1000 Ochsner Blvd , Covington LA 70433-8107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Vansice, Wade Clark can be contacted via phone (985) 898-7051.Contact Information
Primary practice address
1000 Ochsner Blvd
Covington LA 70433-8107
Phone: (985) 898-7051
Fax: (985) 871-2577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 75050 | Minnesota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 122314 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD.202524 | Louisiana |
Profile Details
| NPI number | 1467625756 |
|---|---|
| LBN Legal business name | Vansice, Wade Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Sep 25th, 2023 - about 2 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 | 1467625756 | NPPES |
| Louisiana | MEDICAID | 1500356 |
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