Wade, Heather Larkin
Wade, Heather Larkin is an individual health care provider with primary practice located at 2411 W Belvedere Ave Ste 402 , Baltimore MD 21215-5231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wade, Heather Larkin can be contacted via phone (410) 601-9627.Contact Information
Primary practice address
2411 W Belvedere Ave Ste 402
Baltimore MD 21215-5231
Phone: (410) 601-9627
Fax: (410) 601-9499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P19036 | Maryland |
Profile Details
| NPI number | 1700935228 |
|---|---|
| LBN Legal business name | Wade, Heather Larkin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Apr 4th, 2024 - about 2 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 | 1700935228 | NPPES |
| Maryland | MEDICAID | 014134800 |
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