Melvin, Wade H
Melvin, Wade H is an individual health care provider with primary practice located at 1414 Main St Suite 4, Chipley FL 32428-6952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Melvin, Wade H can be contacted via phone (850) 676-4926.Contact Information
Primary practice address
1414 Main St Suite 4
Chipley FL 32428-6952
Phone: (850) 676-4926
Fax: (850) 676-4929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 42465 | Florida |
Profile Details
| NPI number | 1689627887 |
|---|---|
| LBN Legal business name | Melvin, Wade H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | May 25th, 2023 - about 3 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 | 1689627887 | NPPES |
| Other | 32072 | BLUE CROSS | |
| MEDICAID | 067715900 | BLUE CROSS |
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