Peter David Wallens in Charlotte - Clinical
Peter David Wallens - NPI 1275698540
Peter David Wallens is a Clinical in Charlotte, North Carolina. Peter David Wallens practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peter David Wallens is 1275698540. The last update date is 2007-07-08.
Peter David Wallens's current location address is 3304 Selwyn Farms Ln Apt 1, Charlotte, North Carolina. You can contact this provider via phone number 7045232100. The mailing address for Peter David Wallens is 3304 Selwyn Farms Ln Apt 1, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter David Wallens |
|---|---|
| Address | 3304 Selwyn Farms Ln Apt 1, Charlotte, North Carolina |
| Phone Number | 7045232100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1275698540 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3304 Selwyn Farms Ln Apt 1 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282095006 |
| Phone Number | 7045232100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C000573 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Peter David Wallens by the Centers for Medicare & Medicaid Services?
The Peter David Wallens has been assigned the NPI (National Provider Identifier) 1275698540. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peter David Wallens?
The Peter David Wallens is physically situated at 3304 Selwyn Farms Ln Apt 1, in the city of Charlotte, state of NC, with the postal code 282095006.
What is Peter David Wallens's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter David Wallens is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Peter David Wallens receive its 1275698540 assignment from the Centers for Medicare & Medicaid Services?
The Peter David Wallens was assigned its 1275698540 by the Centers for Medicare & Medicaid Services on 2006-12-26.
When was the Peter David Wallens's information last updated?
The Peter David Wallens's information was last updated on 2007-07-08.