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
Fax: (304) 845-2208
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801882303 NPPES
West Virginia MEDICAID 0055148000

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