Wade, Stephen
Wade, Stephen is an individual health care provider with primary practice located at 1508 Genesee St , Utica NY 13502-5178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wade, Stephen can be contacted via phone (315) 798-8737.Contact Information
Primary practice address
1508 Genesee St
Utica NY 13502-5178
Phone: (315) 798-8737
Fax: (315) 732-1702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 242667 | New York |
Profile Details
| NPI number | 1114067261 |
|---|---|
| LBN Legal business name | Wade, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | May 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114067261 | NPPES |
| Other | RB3864 | MEDICARE PTAN | |
| Other | 03168343 | MEDICARE PTAN |
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