Wade, Jonathan Lewis

Wade, Jonathan Lewis is an individual health care provider with primary practice located at 5000 Hilltop Dr , Brookhaven PA 19015-1228. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wade, Jonathan Lewis can be contacted via phone (484) 490-1060.

Contact Information

Primary practice address
5000 Hilltop Dr Brookhaven PA 19015-1228
Phone: (484) 490-1060
Fax: (610) 876-4534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1366795890
LBN Legal business name Wade, Jonathan Lewis
Credentials M.DIV.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2012
Last updated Oct 22nd, 2012 - 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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