Wade Newell, Heather J.

Wade Newell, Heather J. is an individual health care provider with primary practice located at 1160 Kepler Dr , Green Bay WI 54311-8321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wade Newell, Heather J. can be contacted via phone (920) 288-5500.

Contact Information

Primary practice address
1160 Kepler Dr Green Bay WI 54311-8321
Phone: (920) 288-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60281972 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52113 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67831 Wisconsin

Profile Details

NPI number 1326194903
LBN Legal business name Wade Newell, Heather J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Sep 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326194903 NPPES
Minnesota MEDICAID 1326194903
Minnesota MEDICAID 100071383

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