Wade, Ryan

Wade, Ryan is an individual health care provider with primary practice located at 6272 State Route 9 , Chestertown NY 12817-2822. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wade, Ryan can be contacted via phone (518) 494-3211.

Contact Information

Primary practice address
6272 State Route 9 Chestertown NY 12817-2822
Phone: (518) 494-3211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 059560 New York

Profile Details

NPI number 1346658606
LBN Legal business name Wade, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2014
Last updated Apr 6th, 2021 - about 5 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 1346658606 NPPES
New York MEDICAID 1346658606

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