Myers, Wade C

Myers, Wade C is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Myers, Wade C can be contacted via phone (401) 444-5488.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-5488
Fax: (401) 444-7865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD13110 Rhode Island
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD13110 Rhode Island
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X MD13110 Rhode Island

Profile Details

NPI number 1578677894
LBN Legal business name Myers, Wade C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Sep 9th, 2009 - about 17 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 1578677894 NPPES
Florida MEDICAID 049176400
Florida Other 68471

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