Individual
DR. ALEX WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 974-4000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 974-4000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC-04748
OHIO STATE CHIROPRACTIC BOARD
OH
Enumeration date
10/16/2017
Last updated
12/09/2019
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