Search › Indiana › 152W00000X
Jennifer Wade, O.D
NPI 1174622856 · on the registry since 2006 · sole proprietor
Practice
- Address
- 175 County Road 6 W
Elkhart, IN 46514 - Phone
- (574) 266-7465
- Fax
- (574) 266-7467
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana