Wade, John M.
Wade, John M. is an individual health care provider with primary practice located at 90 Hope Dr , Mountain Home Afb ID 83648-1057. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wade, John M. can be contacted via phone (208) 828-2175.Contact Information
Primary practice address
90 Hope Dr
Mountain Home Afb ID 83648-1057
Phone: (208) 828-2175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 34891 | California |
Profile Details
| NPI number | 1124250626 |
|---|---|
| LBN Legal business name | Wade, John M. |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2009 |
| Last updated | Jul 31st, 2023 - about 3 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 | 1124250626 | NPPES |
| California | Other | PT 34891 | PT BOARD OF CA |
Popular Providers
-
Call, Anson C
1005 W 6Th S , Mountain Home ID 83647-3339 -
Stanworth, Weston
1005 W Airbase Rd , Mountain Home ID 83647-3339 -
Perry, Joseph Richard
90 Hope Dr , Mountain Home Afb ID 83648-1057 -
Gibbs, Dale Robert
1005 W 6Th S , Mountain Home ID 83647-3339 -
Stanton, Brian J
1005 6Th South , Mountain Home ID 83647-8364 -
Ferguson, Teagan
90 Hope Dr Bldg 6000 , Mountain Home Afb ID 83648-1062 -
Eichele, Daniel
1005 W 6Th S , Mountain Home ID 83647-3339 -
Elliott, Dustin K
1005 W 6Th S , Mountain Home ID 83647-3339