Harris, Wade
Harris, Wade is an individual health care provider with primary practice located at 211 E Logan St Ste 201, Caldwell ID 83605-4882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Harris, Wade can be contacted via phone (208) 454-0567.Contact Information
Primary practice address
211 E Logan St Ste 201
Caldwell ID 83605-4882
Phone: (208) 454-0567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | TL-3792 | Idaho |
Profile Details
| NPI number | 1134227945 |
|---|---|
| LBN Legal business name | Harris, Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 8th, 2007 - about 19 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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