Wade, Scott Alan
Wade, Scott Alan is an individual health care provider with primary practice located at 802 N Riverside Rd Ste G50 , Saint Joseph MO 64507-2510. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wade, Scott Alan can be contacted via phone (816) 671-4888.Contact Information
Primary practice address
802 N Riverside Rd Ste G50
Saint Joseph MO 64507-2510
Phone: (816) 671-4888
Fax: (816) 671-4890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 100462 | Missouri |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 100462 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 100462 | Missouri |
Profile Details
| NPI number | 1639103583 |
|---|---|
| LBN Legal business name | Wade, Scott Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 1st, 2017 - about 7 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 | 1639103583 | NPPES |
| Missouri | Other | 10001185602 | COMMUNITY HEALTH PLAN |
| Missouri | MEDICAID | 203325600 | COMMUNITY HEALTH PLAN |
| Missouri | Other | P00203415 | COMMUNITY HEALTH PLAN |
| Missouri | MEDICAID | 100132200B | COMMUNITY HEALTH PLAN |
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