Young, Wade Earle

Young, Wade Earle is an individual health care provider with primary practice located at 60 Ashwood Dr , Tiffin OH 44883-1908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Young, Wade Earle can be contacted via phone (419) 448-8811.

Contact Information

Primary practice address
60 Ashwood Dr Tiffin OH 44883-1908
Phone: (419) 448-8811
Fax: (419) 448-7418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35050815 Ohio

Profile Details

NPI number 1699759159
LBN Legal business name Young, Wade Earle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 6th, 2021 - about 4 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 1699759159 NPPES
Ohio MEDICAID 0569040
Ohio MEDICAID 2742787

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