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Contact Information

GINA M WADE, C.M.T
4 1ST ST E STE 100
KALISPELL, MT59901-4554
 Phone: 406-261-7528
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GINA M WADE · (Female)

NPI Number 1003243346
Status Active
Credentials C.M.T
Entity Individual
Enumeration date 10/01/2013
Last updated 10/01/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 708
  • MT License # 708
  • MT Other 000022444 STATE FUND
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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