Wada, David A
Wada, David A is an individual health care provider with primary practice located at 50 N Medical Dr # E13 , Salt Lake City UT 84132-0001. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Chemical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Wada, David A can be contacted via phone (801) 581-2955.Contact Information
Primary practice address
50 N Medical Dr # E13
Salt Lake City UT 84132-0001
Phone: (801) 581-2955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 50181 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 5558245-1205 | Utah |
| Allopathic & Osteopathic Physicians / Chemical Pathology | 207ZP0104X | 5558245-1205 | Utah |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 103224 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 5558245-1205 | Utah |
Profile Details
| NPI number | 1043411168 |
|---|---|
| LBN Legal business name | Wada, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | May 26th, 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 | 1043411168 | NPPES |
| Minnesota | Other | P00839042 | MEDICARE, RAILROAD |
| Minnesota | MEDICAID | 440937100 | MEDICARE, RAILROAD |
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