Wade, Brandon

Wade, Brandon is an individual health care provider with primary practice located at 136 Corporate Park Dr , Mooresville NC 28117-6959. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wade, Brandon can be contacted via phone (704) 360-2796.

Contact Information

Primary practice address
136 Corporate Park Dr Mooresville NC 28117-6959
Phone: (704) 360-2796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A7727 North Carolina

Profile Details

NPI number 1346908456
LBN Legal business name Wade, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2021
Last updated Dec 6th, 2021 - 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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