Wade, Stanley A.

Wade, Stanley A. is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wade, Stanley A. can be contacted via phone (601) 703-9223.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 703-9223
Fax: (601) 703-9405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 06967 Mississippi

Profile Details

NPI number 1578545984
LBN Legal business name Wade, Stanley A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Nov 8th, 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 1578545984 NPPES
Mississippi MEDICAID 00115344
Mississippi Other 730-12551
Mississippi Other P00069795

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