Wade, Ralph David
Wade, Ralph David is an individual health care provider with primary practice located at 557 W 2600 S , Bountiful UT 84010-7747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wade, Ralph David can be contacted via phone (801) 298-9155.Contact Information
Primary practice address
557 W 2600 S
Bountiful UT 84010-7747
Phone: (801) 298-9155
Fax: (801) 298-9156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 180211-1204 | Utah |
Profile Details
| NPI number | 1447256953 |
|---|---|
| LBN Legal business name | Wade, Ralph David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Aug 24th, 2009 - about 15 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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