Wade, Renard

Wade, Renard is an sole proprietor health care provider with primary practice located at 17 Hamilton Ave , Monticello NY 12701-1319. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wade, Renard can be contacted via phone (845) 794-8080.

Contact Information

Primary practice address
17 Hamilton Ave Monticello NY 12701-1319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23087 New York

Profile Details

NPI number 1508245788
LBN Legal business name Wade, Renard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2015
Last updated May 21st, 2015 - about 9 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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