Wade, James P

Wade, James P is an individual health care provider with primary practice located at 180 S 3Rd St Ste 103 , Belleville IL 62220-1952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wade, James P can be contacted via phone (618) 213-7921.

Contact Information

Primary practice address
180 S 3Rd St Ste 103 Belleville IL 62220-1952
Phone: (618) 213-7921
Fax: (618) 213-7922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036095025 Illinois

Profile Details

NPI number 1386640399
LBN Legal business name Wade, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 18th, 2023 - about last year

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 1386640399 NPPES
Illinois MEDICAID 1386640399

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