Wade, Philip M.

Wade, Philip M. is an individual health care provider with primary practice located at 2451 Fillingim St Mastin 617, Mobile AL 36617-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wade, Philip M. can be contacted via phone (251) 470-5842.

Contact Information

Primary practice address
2451 Fillingim St Mastin 617 Mobile AL 36617-2238
Fax: (251) 470-5809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9092 Alabama

Profile Details

NPI number 1215977350
LBN Legal business name Wade, Philip M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215977350 NPPES
Mississippi MEDICAID 04172511
Mississippi Other 51524610
Mississippi Other 36-10278

Popular Providers