Wade, Justina K
Wade, Justina K is an individual health care provider with primary practice located at 444 Butterfly Gardens Dr , Columbus OH 43215-3427. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Prevention Professional, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Wade, Justina K can be contacted via phone (614) 355-8408.Contact Information
Primary practice address
444 Butterfly Gardens Dr
Columbus OH 43215-3427
Phone: (614) 355-8408
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Ohio | |
Other Service Providers / Community Health Worker | 172V00000X | Ohio | |
Other Service Providers / Prevention Professional | 405300000X | OCPS161333 | Ohio |
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1710540448 |
---|---|
LBN Legal business name | Wade, Justina K |
Credentials | QMHS MA CMS OCPS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2019 |
Last updated | Oct 19th, 2023 - about last year |
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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