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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1184902157 NPPES
Florida MEDICAID 007902900

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