Wade, Spencer

Wade, Spencer is an individual health care provider with primary practice located at 345 E 24Th St , New York NY 10010-4020. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Wade, Spencer can be contacted via phone (517) 285-8734.

Contact Information

Primary practice address
345 E 24Th St New York NY 10010-4020
Phone: (517) 285-8734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3705 Ohio
Dental Providers / Dentist Anesthesiologist 1223D0004X 10310 Kentucky
Dental Providers / Dentist Anesthesiologist 1223D0004X O61371 New York

Profile Details

NPI number 1316396419
LBN Legal business name Wade, Spencer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Sep 7th, 2021 - 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 1316396419 NPPES
Ohio Other 5172858734 THE OHIO STATE UNIVERSITY

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