Harris, Wade Allen
Harris, Wade Allen is an individual health care provider with primary practice located at 701 Grove Rd Suite 200, Greenville SC 29605-4271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Harris, Wade Allen can be contacted via phone (864) 455-8431.Contact Information
Primary practice address
701 Grove Rd Suite 200
Greenville SC 29605-4271
Phone: (864) 455-8431
Fax: (864) 455-8981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 10417 | South Carolina |
Profile Details
| NPI number | 1972552040 |
|---|---|
| LBN Legal business name | Harris, Wade Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 11th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972552040 | NPPES |
| South Carolina | MEDICAID | 104176 |
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