Wade, Autum

Wade, Autum is an individual health care provider with primary practice located at 102 N Broadway St , Johnson City TN 37601-3525. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wade, Autum can be contacted via phone (423) 588-9988.

Contact Information

Primary practice address
102 N Broadway St Johnson City TN 37601-3525
Phone: (423) 588-9988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 000-1410 Tennessee

Profile Details

NPI number 1063155364
LBN Legal business name Wade, Autum
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2022
Last updated Apr 15th, 2022 - about 3 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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