Wade, Michael David

Wade, Michael David is an individual health care provider with primary practice located at 799 E Hampden Ave #400, Englewood CO 80113-2700. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wade, Michael David can be contacted via phone (303) 789-2663.

Contact Information

Primary practice address
799 E Hampden Ave #400 Englewood CO 80113-2700
Phone: (303) 789-2663
Fax: (303) 788-4871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.003259 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4192 Colorado

Profile Details

NPI number 1558517292
LBN Legal business name Wade, Michael David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Feb 10th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558517292 NPPES
Colorado MEDICAID 07535759

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