Wade, Dianne Leblanc

Wade, Dianne Leblanc is an sole proprietor health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wade, Dianne Leblanc can be contacted via phone (843) 789-6471.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 789-6471
Fax: (843) 805-5957
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1154428316
LBN Legal business name Wade, Dianne Leblanc
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154428316 NPPES
Other 657827 ADA REGISTRATION NUMBER

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