Wade, Chris

Wade, Chris is an individual health care provider with primary practice located at 370 E Courtland St , Morton IL 61550-9054. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wade, Chris can be contacted via phone (309) 291-0899.

Contact Information

Primary practice address
370 E Courtland St Morton IL 61550-9054
Phone: (309) 291-0899
Fax: (309) 291-0927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001605 Illinois

Profile Details

NPI number 1568425924
LBN Legal business name Wade, Chris
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Oct 20th, 2021 - about 4 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 1568425924 NPPES
Illinois Other P00386420 RAILROAD MEDICARE

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