Wade, Georgia Ann
Wade, Georgia Ann is an sole proprietor health care provider with primary practice located at 100 N 67Th St , Broken Arrow OK 74014-6945. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Wade, Georgia Ann can be contacted via phone (918) 357-1404.Contact Information
Primary practice address
100 N 67Th St
Broken Arrow OK 74014-6945
Phone: (918) 357-1404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | R0033022 | Oklahoma |
Profile Details
| NPI number | 1548479918 |
|---|---|
| LBN Legal business name | Wade, Georgia Ann |
| Credentials | RN. IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1548479918 | NPPES |
| Oklahoma | Other | R0033022 | REGISTERED NURSE |
| Oklahoma | Other | 163WL0100X | REGISTERED NURSE |
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