Wade, Mark
Wade, Mark is an individual health care provider with primary practice located at 2700 W College Ave , Appleton WI 54914-2918. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wade, Mark can be contacted via phone (920) 735-9580.Contact Information
Primary practice address
2700 W College Ave
Appleton WI 54914-2918
Phone: (920) 735-9580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2210 | Wisconsin |
Profile Details
| NPI number | 1104814631 |
|---|---|
| LBN Legal business name | Wade, Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Aug 4th, 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.
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