Wade, Shane Michael

Wade, Shane Michael is an individual health care provider with primary practice located at 73 W Van Buren St , Oswego IL 60543-7213. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wade, Shane Michael can be contacted via phone (630) 450-5006.

Contact Information

Primary practice address
73 W Van Buren St Oswego IL 60543-7213
Phone: (630) 450-5006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38010945 Illinois

Profile Details

NPI number 1821204223
LBN Legal business name Wade, Shane Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 19 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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