Wade, Wilda Faye

Wade, Wilda Faye is an sole proprietor health care provider with primary practice located at 2007 Yanceyville St # 91 Suite 407, Greensboro NC 27405-5000. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wade, Wilda Faye can be contacted via phone (336) 542-5545.

Contact Information

Primary practice address
2007 Yanceyville St # 91 Suite 407 Greensboro NC 27405-5000
Phone: (336) 542-5545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L001066 North Carolina

Profile Details

NPI number 1609086511
LBN Legal business name Wade, Wilda Faye
Credentials PH.D.,RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Mar 17th, 2008 - about 17 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 1609086511 NPPES
North Carolina Other 14306 BLUE CROSS BLUE SHIELD

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