Wallace M Handeland in Virginia Beach - Pediatrics
Wallace M Handeland - NPI 1598740581
Wallace M Handeland is a Pediatrics in Virginia Beach, Virginia. Wallace M Handeland practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Wallace M Handeland is 1598740581. The last update date is 2008-09-03.
Wallace M Handeland's current location address is 4217 Virginia Beach Blvd, Virginia Beach, Virginia. You can contact this provider via phone number 7573407070 and fax number 7573407500. The mailing address for Wallace M Handeland is 4217 Virginia Beach Blvd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wallace M Handeland |
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Address | 4217 Virginia Beach Blvd, Virginia Beach, Virginia |
Phone Number | 7573407070 |
Fax Number | 7573407500 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1598740581 |
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Provider Enumeration Date | 2005-12-13 |
Last Updated Date | 2008-09-03 |
Provider Mailing Address Detail
Address | 4217 Virginia Beach Blvd |
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City | Virginia Beach |
State | Virginia (VA) |
Post Code | 234521232 |
Phone Number | 7573407070 |
Fax Number | 7573407500 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 152Wp0200X |
Licence No | 601000770 |
Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
184237 | VA | ANTHEM BCBS | |
51-0558604 | TAXID CORP | ||
1801903745 | GROUP NPI | ||
92-3020-3 | VA | -- |
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What is the unique 10-digit identifier code issued to Wallace M Handeland by the Centers for Medicare & Medicaid Services?
The Wallace M Handeland has been assigned the NPI (National Provider Identifier) 1598740581 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wallace M Handeland?
The Wallace M Handeland is physically situated at 4217 Virginia Beach Blvd, in the city of Virginia Beach, state of VA, with the postal code 234521232.
What is Wallace M Handeland's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wallace M Handeland is Pediatrics, and the taxonomy code that categorizes this field of expertise is 152Wp0200X.
On what date did the Wallace M Handeland receive its 1598740581 assignment from the Centers for Medicare & Medicaid Services?
The Wallace M Handeland was assigned its 1598740581 by the Centers for Medicare & Medicaid Services on 2005-12-13.
As of what date were the details pertaining to Wallace M Handeland last refreshed?
The information related to the Wallace M Handeland, including its address, specialty, and other relevant details, was last updated on 2008-09-03.
NPI Number: 1215930425
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