Wade, Connie J

Wade, Connie J is an individual health care provider with primary practice located at 2200 Sw Gage Blvd , Topeka KS 66622-0001. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Radiography. Technologists, Technicians & Other Technical Service Providers / Radiography is her primary health care specialty. Wade, Connie J can be contacted via phone (785) 350-3111.

Contact Information

Primary practice address
2200 Sw Gage Blvd Topeka KS 66622-0001
Phone: (785) 350-3111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 166952
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 166952
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 22-02156 Kansas

Profile Details

NPI number 1922538768
LBN Legal business name Wade, Connie J
Credentials R.T. (R) (M)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922538768 NPPES
Kansas Other 22-02156 KANSAS STATE BOAR OF HEALING ARTS
Kansas Other 166952 KANSAS STATE BOAR OF HEALING ARTS

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