Wade Pediatrics Pc

LBN: Wade Pediatrics Pc
Wade Pediatrics Pc is an health care organization with primary practice located at 3505 W Broadway , Muskogee OK 74401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wade Pediatrics Pc can be contacted via phone (918) 683-8442, or through Wade, Kevin F via phone (918) 683-8442.

Contact Information

Primary practice address
3505 W Broadway Muskogee OK 74401
Phone: (918) 683-8442
Fax: (918) 683-8390
Website:
Map and Directions
Authorized official contact:
Name: Wade, Kevin F
Phone: (918) 683-8442

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18036 Oklahoma

Profile Details

NPI number 1962475558
LBN Legal business name Wade Pediatrics Pc
DBA Doing business as
Authorized official Wade, Kevin F
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962475558 NPPES
Mississippi MEDICAID 01837071

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