Wade, Mark W.

Wade, Mark W. is an individual health care provider with primary practice located at 295 N Broad St , Carlinville IL 62626-1301. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wade, Mark W. can be contacted via phone (217) 854-8211.

Contact Information

Primary practice address
295 N Broad St Carlinville IL 62626-1301
Phone: (217) 854-8211
Fax: (217) 854-3636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1972553410
LBN Legal business name Wade, Mark W.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 13th, 2026 - about 3 months 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 1972553410 NPPES
Illinois Other 0005982011 BLUECROSS BLUESHIELD

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