Wrede, David A.

Wrede, David A. is an sole proprietor health care provider with primary practice located at 1101 Veterans Dr , Lexington KY 40502-2235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wrede, David A. can be contacted via phone (859) 233-4511.

Contact Information

Primary practice address
1101 Veterans Dr Lexington KY 40502-2235
Phone: (859) 233-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21485 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 21485 Kentucky

Profile Details

NPI number 1104865674
LBN Legal business name Wrede, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Sep 18th, 2015 - about 10 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 1104865674 NPPES
Kentucky Other 000000532758 BCBS PROVIDER NUMBER
Kentucky MEDICAID 64214851 BCBS PROVIDER NUMBER
Kentucky Other 000000053336 BCBS PROVIDER NUMBER

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