Wade, James David

Wade, James David is an individual health care provider with primary practice located at 35 Albany Rd Ste C , Carbondale IL 62903-7605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wade, James David can be contacted via phone (618) 457-5111.

Contact Information

Primary practice address
35 Albany Rd Ste C Carbondale IL 62903-7605
Phone: (618) 457-5111
Fax: (618) 457-6560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209006566 Illinois

Profile Details

NPI number 1639223464
LBN Legal business name Wade, James David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 1st, 2008 - about 16 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 1639223464 NPPES
Illinois Other 041300787 IL RN LICENSE NUMBER
Illinois Other 209006566 IL RN LICENSE NUMBER

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