Wade, Coretta
Wade, Coretta is an sole proprietor health care provider with primary practice located at 270 Carpenter Dr Ste 400 , Sandy Springs GA 30328-4933. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Wade, Coretta can be contacted via phone (678) 851-5638.Contact Information
Primary practice address
270 Carpenter Dr Ste 400
Sandy Springs GA 30328-4933
Phone: (678) 851-5638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1215456470 |
|---|---|
| LBN Legal business name | Wade, Coretta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215456470 | NPPES |
| Florida | Other | 051805016 | DRIVE LICENSE |
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