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Contact Information

TY C WADE, DC
620 E. GREEN BAY AVE.
SUITE 104
SAUKVILLE, WI53080
 Phone: 262-284-0022
 Fax: 262-268-0715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TY C WADE · (Male)

NPI Number 1922145101
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/30/2007
Last updated 05/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4012-012
  • WI Medicaid 389-50300
  • WI Medicaid 38950300
  • WI Other 649385 ACN
  • WI Other 202500022 UHC
  • WI Other 202500022 WEA
  • WI Other 202500022 WPPN
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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