Wade, James L

Wade, James L is an individual health care provider with primary practice located at 210 W. Mckinley Ave Ste 1, Decatur IL 62526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Wade, James L can be contacted via phone (217) 876-6600.

Contact Information

Primary practice address
210 W. Mckinley Ave Ste 1 Decatur IL 62526
Phone: (217) 876-6600
Fax: (217) 876-6606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036059192 Illinois

Profile Details

NPI number 1992774459
LBN Legal business name Wade, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 26th, 2014 - about 12 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 1992774459 NPPES
Illinois MEDICAID 036059192

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