Wade, Lori A.

Wade, Lori A. is an individual health care provider with primary practice located at 368 Milan Ave Ste D , Norwalk OH 44857-3106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wade, Lori A. can be contacted via phone (419) 663-6464.

Contact Information

Primary practice address
368 Milan Ave Ste D Norwalk OH 44857-3106
Phone: (419) 663-6464
Fax: (419) 663-9881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.07457 Ohio

Profile Details

NPI number 1205821139
LBN Legal business name Wade, Lori A.
Credentials M.S.N, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated May 29th, 2019 - about 6 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 1205821139 NPPES
Ohio Other H054700 MEDICARE PTAN
Ohio MEDICAID 2802060 MEDICARE PTAN

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