Porterfield, Wade Rea

Porterfield, Wade Rea is an individual health care provider with primary practice located at 515 Main St , Olean NY 14760-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Porterfield, Wade Rea can be contacted via phone (716) 372-0223.

Contact Information

Primary practice address
515 Main St Olean NY 14760-1513
Fax: (716) 373-7191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD065041L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 199568 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 199568-1 New York

Profile Details

NPI number 1811988595
LBN Legal business name Porterfield, Wade Rea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811988595 NPPES
New York MEDICAID 01770350

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