Wilde, Wade Wallace

Wilde, Wade Wallace is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilde, Wade Wallace can be contacted via phone (757) 953-7133.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (757) 953-7133
Fax: (757) 953-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101232539 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.074229 Ohio

Profile Details

NPI number 1225017817
LBN Legal business name Wilde, Wade Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Mar 9th, 2026 - about 8 months 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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