Wade, Robert Brian
Wade, Robert Brian is an individual health care provider with primary practice located at 1001 3Rd St , Moundsville WV 26041-1606. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wade, Robert Brian can be contacted via phone (304) 845-3464.Contact Information
Primary practice address
1001 3Rd St
Moundsville WV 26041-1606
Phone: (304) 845-3464
Fax: (304) 845-2208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19185 | West Virginia |
Profile Details
| NPI number | 1801882303 |
|---|---|
| LBN Legal business name | Wade, Robert Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Apr 18th, 2022 - about 3 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 | 1801882303 | NPPES |
| West Virginia | MEDICAID | 0055148000 |
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