Smith, Wade G
Smith, Wade G is an individual health care provider with primary practice located at 1343 N Fountain Blvd , Springfield OH 45504-1422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Wade G can be contacted via phone (937) 390-5000.Contact Information
Primary practice address
1343 N Fountain Blvd
Springfield OH 45504-1422
Phone: (937) 390-5000
Fax: (937) 390-5526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34007103S | Ohio |
Profile Details
| NPI number | 1023060373 |
|---|---|
| LBN Legal business name | Smith, Wade G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Dec 18th, 2008 - about 18 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 | 1023060373 | NPPES |
| Ohio | Other | 000000315976 | ANTHEM |
| Ohio | Other | 000000548866 | ANTHEM |
| Ohio | Other | P00054518 | ANTHEM |
| Ohio | Other | 000000302741 | ANTHEM |
| Ohio | MEDICAID | 2126658 | ANTHEM |
| Ohio | Other | 000000543484 | ANTHEM |
| Ohio | MEDICAID | 200915100 | ANTHEM |
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