Wakamatsu, Tadaie

Wakamatsu, Tadaie is an individual health care provider with primary practice located at 701 N Clayton St Suite 601, Wilmington DE 19805-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wakamatsu, Tadaie can be contacted via phone (302) 652-6050.

Contact Information

Primary practice address
701 N Clayton St Suite 601 Wilmington DE 19805-3165
Phone: (302) 652-6050
Fax: (302) 652-6053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C1-0000899 Delaware

Profile Details

NPI number 1396743969
LBN Legal business name Wakamatsu, Tadaie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 17th, 2008 - about 18 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 1396743969 NPPES
Delaware MEDICAID 0000038101

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