NPI 1902393614

William K Wade, BOCPCOFCPED

Practitioner Prosthetist Ocean Springs, MS

Practice location

Address: 3004 Bienville Blvd, Ocean Springs, MS 39564-4370
Phone: (228) 875-3828
Fax: (228) 436-3580

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence C50109 (MS)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C50109 (MS)

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Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence C50109 (MS)

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Registry record

NPI: 1902393614
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2018
Record last updated: 18 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.