Wade, Priscilla
Wade, Priscilla is an individual health care provider with primary practice located at 4123 Okemos Rd Ste 15 , Okemos MI 48864-2818. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wade, Priscilla can be contacted via phone (517) 336-7366.Contact Information
Primary practice address
4123 Okemos Rd Ste 15
Okemos MI 48864-2818
Phone: (517) 336-7366
Fax: (517) 336-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301007011 | Michigan |
Profile Details
| NPI number | 1871650291 |
|---|---|
| LBN Legal business name | Wade, Priscilla |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871650291 | NPPES |
| Michigan | Other | 063276 | CONNECTICUT GENERAL |
| Michigan | Other | 063276 | CONNECTICUT GENERAL |
| Michigan | Other | 1016708 | CONNECTICUT GENERAL |
| Michigan | Other | 11291411 | CONNECTICUT GENERAL |
| Michigan | Other | 68OC34678 | CONNECTICUT GENERAL |
| Michigan | Other | 78357 | CONNECTICUT GENERAL |
| Michigan | Other | A029412 | CONNECTICUT GENERAL |
| Michigan | Other | MI5228936 | CONNECTICUT GENERAL |
| Michigan | Other | R67036 | CONNECTICUT GENERAL |
| Michigan | Other | 03626 | CONNECTICUT GENERAL |
| Michigan | Other | 228936000 | CONNECTICUT GENERAL |
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