Wade, Jonathan Richard
Wade, Jonathan Richard is an individual health care provider with primary practice located at 10000 Bay Pines Blvd. Dom C-180, Bay Pines FL 33744. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wade, Jonathan Richard can be contacted via phone (727) 398-6661.Contact Information
Primary practice address
10000 Bay Pines Blvd. Dom C-180
Bay Pines FL 33744
Phone: (727) 398-6661
Fax: (727) 398-9509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW8569 | Florida |
Profile Details
| NPI number | 1861416927 |
|---|---|
| LBN Legal business name | Wade, Jonathan Richard |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 12th, 2008 - about 16 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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