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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215456470 NPPES
Florida Other 051805016 DRIVE LICENSE

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