Wilkerson, Wade Richard

Wilkerson, Wade Richard is an individual health care provider with primary practice located at 301 Yadkin St Department Of Radiology, Albemarle NC 28001-3441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilkerson, Wade Richard can be contacted via phone (704) 984-4385.

Contact Information

Primary practice address
301 Yadkin St Department Of Radiology Albemarle NC 28001-3441
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2008-01023 North Carolina

Profile Details

NPI number 1891971354
LBN Legal business name Wilkerson, Wade Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Nov 6th, 2013 - about 12 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 1891971354 NPPES
North Carolina Other P00961546 RAILROAD MEDICARE
North Carolina MEDICAID 5912293 RAILROAD MEDICARE

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