Wade, Jennifer Laura

Wade, Jennifer Laura is an individual health care provider with primary practice located at 13550 W 63Rd St , Shawnee KS 66216-3814. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wade, Jennifer Laura can be contacted via phone (913) 962-2252.

Contact Information

Primary practice address
13550 W 63Rd St Shawnee KS 66216-3814
Phone: (913) 962-2252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1829 Kansas

Profile Details

NPI number 1568802098
LBN Legal business name Wade, Jennifer Laura
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Jun 28th, 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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