Wade, Ellin

Wade, Ellin is an sole proprietor health care provider with primary practice located at 910 S Chapel St Suite 102, Newark DE 19713-3467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wade, Ellin can be contacted via phone (302) 224-1400.

Contact Information

Primary practice address
910 S Chapel St Suite 102 Newark DE 19713-3467
Phone: (302) 224-1400
Fax: (302) 224-1402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13502 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X L8-0000116 Delaware

Profile Details

NPI number 1417113309
LBN Legal business name Wade, Ellin
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2008
Last updated Apr 23rd, 2013 - about 12 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 1417113309 NPPES
Tennessee MEDICAID 1519530

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