Wade, Spencer William

Wade, Spencer William is an individual health care provider with primary practice located at 565 W 465 N Suite 140, Providence UT 84332-4801. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wade, Spencer William can be contacted via phone (433) 213-9645.

Contact Information

Primary practice address
565 W 465 N Suite 140 Providence UT 84332-4801
Phone: (433) 213-9645
Fax: (435) 213-9631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 8449495-1202 Utah

Profile Details

NPI number 1902108483
LBN Legal business name Wade, Spencer William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2010
Last updated Oct 31st, 2013 - about 11 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 1902108483 NPPES
Utah Other 8449495-1202 UTAH STATE DEPARTMENT OF COMMERCE

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