Wade, John S

Wade, John S is an sole proprietor health care provider with primary practice located at 6067 N Fresno St Suite 101, Fresno CA 93710-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wade, John S can be contacted via phone (559) 436-0606.

Contact Information

Primary practice address
6067 N Fresno St Suite 101 Fresno CA 93710-5200
Fax: (559) 436-4274
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G446590 California

Profile Details

NPI number 1346297330
LBN Legal business name Wade, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Dec 14th, 2011 - about 13 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 1346297330 NPPES
California MEDICAID 00G446590

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