Walters, Wade Cody
Walters, Wade Cody is an individual health care provider with primary practice located at 2300 N 14Th Street Suite 202, Dodge City KS 67801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walters, Wade Cody can be contacted via phone (620) 225-2650.Contact Information
Primary practice address
2300 N 14Th Street Suite 202
Dodge City KS 67801
Phone: (620) 225-2650
Fax: (620) 225-7722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7008 | Kansas |
Profile Details
| NPI number | 1396813895 |
|---|---|
| LBN Legal business name | Walters, Wade Cody |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Dec 2nd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396813895 | NPPES |
| Kansas | Other | 59642 | BC & BS OF KANSAS |
| Kansas | Other | 1417934 | BC & BS OF KANSAS |
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