Wade, Gary L

Wade, Gary L is an individual health care provider with primary practice located at 2422 20Th St Sw , Jamestown ND 58401-6201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wade, Gary L can be contacted via phone (701) 952-4854.

Contact Information

Primary practice address
2422 20Th St Sw Jamestown ND 58401-6201
Phone: (701) 952-4854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00022330 Washington

Profile Details

NPI number 1306832571
LBN Legal business name Wade, Gary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 13th, 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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