Wade, Gina Marie

Wade, Gina Marie is an sole proprietor health care provider with primary practice located at 4 1St St E Ste 100 , Kalispell MT 59901-4554. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Wade, Gina Marie can be contacted via phone (406) 261-7528.

Contact Information

Primary practice address
4 1St St E Ste 100 Kalispell MT 59901-4554
Phone: (406) 261-7528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 708 Colorado
Other Service Providers / Specialist 174400000X 708 Montana

Profile Details

NPI number 1003243346
LBN Legal business name Wade, Gina Marie
Credentials C.M.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 11 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 1003243346 NPPES
Montana Other 000022444 STATE FUND

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