Ms. Gina Marie Wade
Chiropractic Sports Physician
4 1st St E Ste 100
Kalispell
, Montana 59901-4554
Ms. Gina Marie Wade
Chiropractic Sports Physician
4 1st St E Ste 100
Kalispell
, Montana 59901-4554
(406) 261-7528
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Ms. Gina Marie Wade
- 4 1st St E Ste 100
- Kalispell, MT
- Zip : 59901-4554
- Phone : (406) 261-7528
Second Address
- Ms. Gina Marie Wade
- 4 1st St E Ste 100
- Kalispell, MT
- Zip : 59901-4554
- Phone : (406) 261-7528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NS0005X | Chiropractic Sports Physician | 708 | CO |
National Provider Identifier
| NPI | 1003243346 |
|---|---|
| Provider Name | Ms. Gina Marie Wade |
| First Address | Kalispell, MT 59901-4554 |
| Second Address | Kalispell, MT 59901-4554 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2013 |
| Last Update Date | 01/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000022444 | STATE FUND (01) | MT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.