Wade, David Christopher
Wade, David Christopher is an sole proprietor health care provider with primary practice located at 4623 Ebony St , Orlando FL 32811-3823. He recently has 5 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing Service Related Providers / Adult Companion, Agencies / Home Health, Nursing Service Related Providers / Homemaker. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is his primary health care specialty. Wade, David Christopher can be contacted via phone (407) 990-6333.Contact Information
Primary practice address
4623 Ebony St
Orlando FL 32811-3823
Phone: (407) 990-6333
Fax: (321) 206-4502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | Florida | |
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | Florida | |
Nursing Service Related Providers / Adult Companion | 372600000X | ||
Agencies / Home Health | 251E00000X | 007902900 | Florida |
Agencies / Home Health | 251E00000X | 003905100 | Florida |
Nursing Service Related Providers / Homemaker | 376J00000X | 232909 | Florida |
Profile Details
NPI number | 1184902157 |
---|---|
LBN Legal business name | Wade, David Christopher |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 2011 |
Last updated | Feb 10th, 2016 - about 8 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 | 1184902157 | NPPES |
Florida | MEDICAID | 007902900 |
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