Wade, Jevetta R

Wade, Jevetta R is an sole proprietor health care provider with primary practice located at 8828 Balmoral Park Dr , Charlotte NC 28277-1338. She recently has 7 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Dialysis Equipment & Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Transportation Services / Non-emergency Medical Transport (VAN), Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is her primary health care specialty. Wade, Jevetta R can be contacted via phone (980) 833-2029.

Contact Information

Primary practice address
8828 Balmoral Park Dr Charlotte NC 28277-1338
Phone: (980) 833-2029
Fax: (980) 585-4415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Dialysis Equipment & Supplies 332BD1200X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1225524671
LBN Legal business name Wade, Jevetta R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2018
Last updated Jan 22nd, 2020 - about 4 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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