Wade, James C

Wade, James C is an individual health care provider with primary practice located at 1000 East Mountain Blvd. , Wilkes-Barre PA 18711-3486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Wade, James C can be contacted via phone (570) 808-6150.

Contact Information

Primary practice address
1000 East Mountain Blvd. Wilkes-Barre PA 18711-3486
Phone: (570) 808-6150
Fax: (570) 808-6174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 44131 Wisconsin
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD446909 Pennsylvania

Profile Details

NPI number 1174574685
LBN Legal business name Wade, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 4th, 2015 - about 10 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 1174574685 NPPES
Wisconsin MEDICAID 34162000
Wisconsin Other 003000261K
Wisconsin MEDICAID 102762237

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