Wade, Lisa Beth

Wade, Lisa Beth is an sole proprietor health care provider with primary practice located at 6901 N Galena Rd , Peoria IL 61614-3193. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. Wade, Lisa Beth can be contacted via phone (309) 692-4600.

Contact Information

Primary practice address
6901 N Galena Rd Peoria IL 61614-3193
Phone: (309) 692-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 057000996 Illinois

Profile Details

NPI number 1003576083
LBN Legal business name Wade, Lisa Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2021
Last updated Dec 18th, 2021 - about 3 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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