Hunsaker, Wade Robert
Hunsaker, Wade Robert is an individual health care provider with primary practice located at 3001 St Anthony Way , Pendleton OR 97801-3836. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hunsaker, Wade Robert can be contacted via phone (541) 966-0535.Contact Information
Primary practice address
3001 St Anthony Way
Pendleton OR 97801-3836
Phone: (541) 966-0535
Fax: (541) 278-4597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200750078NP | Oregon |
Profile Details
| NPI number | 1154520658 |
|---|---|
| LBN Legal business name | Hunsaker, Wade Robert |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Feb 21st, 2019 - about 7 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 | 1154520658 | NPPES |
| Other | 38-1852 | MEDICARE FQHC | |
| MEDICAID | 231893 | MEDICARE FQHC | |
| MEDICAID | 246615 | MEDICARE FQHC |
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