Individual
MR. TY C. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
620 E. GREEN BAY AVE., SUITE 104, SAUKVILLE, WI 53080
(262) 284-0022
(262) 268-0715
Mailing address
620 E. GREEN BAY AVE., SUITE 104, SAUKVILLE, WI 53080
(262) 284-0022
(262) 268-0715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4012-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202500022
UHC
WI
05
—
389-50300
—
WI
05
—
38950300
—
WI
01
—
649385
ACN
WI
Enumeration date
01/30/2007
Last updated
05/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us