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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083723647 NPPES
Michigan MEDICAID 10-4520161

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