Wade, David Glen

Wade, David Glen is an sole proprietor health care provider with primary practice located at 3330 Nw 56Th St Suite 600, Oklahoma City OK 73112-4479. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Wade, David Glen can be contacted via phone (405) 947-8041.

Contact Information

Primary practice address
3330 Nw 56Th St Suite 600 Oklahoma City OK 73112-4479
Phone: (405) 947-8041
Fax: (405) 947-8043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 120 Oklahoma
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 120 Oklahoma

Profile Details

NPI number 1568462828
LBN Legal business name Wade, David Glen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Aug 4th, 2015 - about 11 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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