Wade, Christine T
Wade, Christine T is an sole proprietor health care provider with primary practice located at 1109 W Long Lake Rd Suite 102, Bloomfield Township MI 48302-1967. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wade, Christine T can be contacted via phone (248) 594-0002.Contact Information
Primary practice address
1109 W Long Lake Rd Suite 102
Bloomfield Township MI 48302-1967
Phone: (248) 594-0002
Fax: (248) 594-6236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301072668 | Michigan |
Profile Details
| NPI number | 1083723647 |
|---|---|
| LBN Legal business name | Wade, Christine T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jun 14th, 2024 - about 5 months 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 | 1083723647 | NPPES |
| Michigan | MEDICAID | 10-4520161 |
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