Wade, Kristine Vera
Wade, Kristine Vera is an individual health care provider with primary practice located at 1090 Ne Gateway Ct Ne Suite 101, Concord NC 28025-2414. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Wade, Kristine Vera can be contacted via phone (704) 403-9100.Contact Information
Primary practice address
1090 Ne Gateway Ct Ne Suite 101
Concord NC 28025-2414
Phone: (704) 403-9100
Fax: (704) 403-9104
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2932 | North Carolina |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 736 | North Carolina |
Profile Details
NPI number | 1043406036 |
---|---|
LBN Legal business name | Wade, Kristine Vera |
Credentials | AU.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2007 |
Last updated | Jul 22nd, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043406036 | NPPES |
North Carolina | Other | 232009B | MEDICARE GROUP PTAN |
North Carolina | MEDICAID | 3404200 | MEDICARE GROUP PTAN |
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