Mark W. Wade is a Chiropractor in Carlinville, Illinois. Mark W. Wade practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark W. Wade is 1972553410. The last update date is 2007-07-08.
Mark W. Wade's current location address is 295 N Broad St, Carlinville, Illinois. You can contact this provider via phone number 2178548211 and fax number 2178543636. The mailing address for Mark W. Wade is 295 N Broad St, Carlinville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W. Wade |
|---|---|
| Address | 295 N Broad St, Carlinville, Illinois |
| Phone Number | 2178548211 |
| Fax Number | 2178543636 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1972553410 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 295 N Broad St |
|---|---|
| City | Carlinville |
| State | Illinois (IL) |
| Post Code | 626261301 |
| Phone Number | 2178548211 |
| Fax Number | 2178543636 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5982011 | IL | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark W. Wade by the Centers for Medicare & Medicaid Services?
The Mark W. Wade has been issued the NPI (National Provider Identifier) 1972553410 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark W. Wade is geographically located?
The Mark W. Wade is physically situated at the following location: 295 N Broad St, Carlinville, IL, 626261301.
What is the Mark W. Wade's area of specialization and corresponding taxonomy classification?
The Mark W. Wade's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did the Mark W. Wade receive its 1972553410?
The Mark W. Wade was issued its 1972553410 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Mark W. Wade most recently updated or refreshed?
The details pertaining to the Mark W. Wade, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.