Wade, Sean Michael

Wade, Sean Michael is an sole proprietor health care provider with primary practice located at 1400 N Norma St Ste 133 , Ridgecrest CA 93555-2577. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Wade, Sean Michael can be contacted via phone (760) 499-7406.

Contact Information

Primary practice address
1400 N Norma St Ste 133 Ridgecrest CA 93555-2577
Phone: (760) 499-7406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1477107415
LBN Legal business name Wade, Sean Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2019
Last updated Oct 14th, 2019 - about 7 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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