Wade, Mark

Wade, Mark is an individual health care provider with primary practice located at 2700 W College Ave , Appleton WI 54914-2918. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wade, Mark can be contacted via phone (920) 735-9580.

Contact Information

Primary practice address
2700 W College Ave Appleton WI 54914-2918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2210 Wisconsin

Profile Details

NPI number 1104814631
LBN Legal business name Wade, Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Aug 4th, 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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