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Contact Information

WADE C MYERS III, MD
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-5488
 Fax: 401-444-7865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WADE C MYERS III · (Male)

NPI # 1578677894
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2006
Last updated 09/09/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD13110
  • FL Medicaid 049176400
  • FL Other 68471 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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