Wade, Kelvin C
Wade, Kelvin C is an sole proprietor health care provider with primary practice located at 401 Hall St Ste A , Monroe LA 71201-7528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wade, Kelvin C can be contacted via phone (318) 324-9113.Contact Information
Primary practice address
401 Hall St Ste A
Monroe LA 71201-7528
Phone: (318) 324-9113
Fax: (318) 329-9382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11502R | Louisiana |
Profile Details
| NPI number | 1043334089 |
|---|---|
| LBN Legal business name | Wade, Kelvin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 2nd, 2010 - 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 | 1043334089 | NPPES |
| Louisiana | MEDICAID | 1664782 |
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