Wade, Michael G

Wade, Michael G is an individual health care provider with primary practice located at 10101 Ridgegate Pkwy , Lone Tree CO 80124-5522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wade, Michael G can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10101 Ridgegate Pkwy Lone Tree CO 80124-5522
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29975 Colorado

Profile Details

NPI number 1710003272
LBN Legal business name Wade, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated May 29th, 2014 - about 10 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 1710003272 NPPES
Other 006369 KAISER-COMMERCIAL NUMBER
MEDICAID 01299759 KAISER-COMMERCIAL NUMBER

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