Wade, John S
Wade, John S is an sole proprietor health care provider with primary practice located at 6067 N Fresno St Suite 101, Fresno CA 93710-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wade, John S can be contacted via phone (559) 436-0606.Contact Information
Primary practice address
6067 N Fresno St Suite 101
Fresno CA 93710-5200
Phone: (559) 436-0606
Fax: (559) 436-4274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | G446590 | California |
Profile Details
| NPI number | 1346297330 |
|---|---|
| LBN Legal business name | Wade, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Dec 14th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346297330 | NPPES |
| California | MEDICAID | 00G446590 |
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