Individual
CHARLES E. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7287 JESSMAN ROAD WEST DR APT C, INDIANAPOLIS, IN 46256-4170
(219) 670-6083
Mailing address
7287 JESSMAN ROAD WEST DR APT C, INDIANAPOLIS, IN 46256-4170
(219) 670-6083
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
71007932A
IN
363L00000X
Nurse Practitioner
Primary
71007932A
IN
363LF0000X
Family Nurse Practitioner
71007932A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001344950
ANTHEM
IN
05
—
3000013406
—
IN
Enumeration date
04/25/2018
Last updated
05/20/2025
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