Wade, Mary A

Wade, Mary A is an individual health care provider with primary practice located at 920 Sw Lane St Suite 200, Topeka KS 66606-2549. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wade, Mary A can be contacted via phone (785) 233-0500.

Contact Information

Primary practice address
920 Sw Lane St Suite 200 Topeka KS 66606-2549
Fax: (785) 233-0660
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1060 Kansas

Profile Details

NPI number 1003948514
LBN Legal business name Wade, Mary A
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2007
Last updated Oct 16th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003948514 NPPES
Kansas Other 011845 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 100228010A BLUE CROSS BLUE SHIELD

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