Mr. Ty C. Wade is a Saukville, Wisconsin based male chiropractor with 23 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Ty C. Wade as General Chiropractor is 4012-012 in Wisconsin. Mr. Ty C. Wade is qualified as 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 interrelationship with other body systems.
Complete Profile:
Mr. Ty C. Wade speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
23+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
620 E. Green Bay Ave., Suite 104, Saukville, Wisconsin, 53080
Phone:
262-284-0022
Fax:
262-268-0715
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5395733208
Enrollment ID:
I20040430001179
NPI Number:
1922145101
NPI Enumeration Date:
30 Jan, 2007
NPI Last Update On:
22 May, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ty C. Wade are as mentioned below.
License Number
Specialization
State
Status
4012-012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ty C. Wade such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38950300
Medicaid
Wisconsin
202500022
Other
Wisconsin
UHC
649385
Other
Wisconsin
ACN
202500022
Other
Wisconsin
WEA
202500022
Other
Wisconsin
WPPN
389-50300
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
620 E. Green Bay Ave., Suite 104 Saukville, Wisconsin
Zip:
53080
Phone Number:
262-284-0022
Fax Number:
262-268-0715
Patients can reach Mr. Ty C. Wade at 620 E. Green Bay Ave., Suite 104, Saukville, Wisconsin or can call to book an appointment on 262-284-0022. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.