Wade, Tammy C
Wade, Tammy C is an individual health care provider with primary practice located at 2210B Mill Street Ext , Lucedale MS 39452-6064. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wade, Tammy C can be contacted via phone (601) 947-9005.Contact Information
Primary practice address
2210B Mill Street Ext
Lucedale MS 39452-6064
Phone: (601) 947-9005
Fax: (601) 947-9007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT1512 | Mississippi |
Profile Details
| NPI number | 1952313298 |
|---|---|
| LBN Legal business name | Wade, Tammy C |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Feb 26th, 2009 - about 16 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 | 1952313298 | NPPES |
| Mississippi | Other | 1033218524 | GROUP NPI |
| Mississippi | MEDICAID | 09015077 | GROUP NPI |
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