Wake, Vince T

Wake, Vince T is an individual health care provider with primary practice located at 4760 Belpar St Nw , Canton OH 44718-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Wake, Vince T can be contacted via phone (330) 492-9200.

Contact Information

Primary practice address
4760 Belpar St Nw Canton OH 44718-3603
Phone: (330) 492-9200
Fax: (330) 492-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35089257 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 35089257 Ohio

Profile Details

NPI number 1356472484
LBN Legal business name Wake, Vince T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Apr 5th, 2011 - about 13 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 1356472484 NPPES
Ohio MEDICAID 2890028

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