Wade, Charles E.

Wade, Charles E. is an individual health care provider with primary practice located at 2605 N Lebanon St , Lebanon IN 46052-1476. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Wade, Charles E. can be contacted via phone (765) 485-8000.

Contact Information

Primary practice address
2605 N Lebanon St Lebanon IN 46052-1476
Phone: (765) 485-8000
Fax: (765) 485-8239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 71007932A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007932A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007932A Indiana

Profile Details

NPI number 1598253577
LBN Legal business name Wade, Charles E.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Jun 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598253577 NPPES
Indiana MEDICAID 3000013406
Indiana Other 00001344950

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