Wakamatsu, Tadaie
Wakamatsu, Tadaie is an individual health care provider with primary practice located at 701 N Clayton St Suite 601, Wilmington DE 19805-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wakamatsu, Tadaie can be contacted via phone (302) 652-6050.Contact Information
Primary practice address
701 N Clayton St Suite 601
Wilmington DE 19805-3165
Phone: (302) 652-6050
Fax: (302) 652-6053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C1-0000899 | Delaware |
Profile Details
| NPI number | 1396743969 |
|---|---|
| LBN Legal business name | Wakamatsu, Tadaie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396743969 | NPPES |
| Delaware | MEDICAID | 0000038101 |
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