Wade, Judith D

Wade, Judith D is an individual health care provider with primary practice located at 2825 Prairie Ave , Beloit WI 53511-1844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wade, Judith D can be contacted via phone (608) 365-5500.

Contact Information

Primary practice address
2825 Prairie Ave Beloit WI 53511-1844
Phone: (608) 365-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1824 Wisconsin

Profile Details

NPI number 1558413039
LBN Legal business name Wade, Judith D
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558413039 NPPES
Wisconsin MEDICAID 43889400
Wisconsin MEDICAID 3985657920011

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