Wade, Donald H

Wade, Donald H is an sole proprietor health care provider with primary practice located at 44215 Monterey Ave , Palm Desert CA 92260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wade, Donald H can be contacted via phone (760) 346-6413.

Contact Information

Primary practice address
44215 Monterey Ave Palm Desert CA 92260
Phone: (760) 346-6413
Fax: (760) 340-1968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G19254 California

Profile Details

NPI number 1316058530
LBN Legal business name Wade, Donald H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 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 1316058530 NPPES
California MEDICAID 00G192540

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