Heath Wade Wallace in Virginia Beach - Independent Duty Corpsman
Heath Wade Wallace - NPI 1558323725
Heath Wade Wallace is a Independent Duty Corpsman in Virginia Beach, Virginia. Heath Wade Wallace practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Heath Wade Wallace is 1558323725. The last update date is 2008-04-20.
Heath Wade Wallace's current location address is 1973 Big Boulder Dr, Virginia Beach, Virginia. You can contact this provider via phone number 7574711746. The mailing address for Heath Wade Wallace is 1973 Big Boulder Dr, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heath Wade Wallace |
|---|---|
| Address | 1973 Big Boulder Dr, Virginia Beach, Virginia |
| Phone Number | 7574711746 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1558323725 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1973 Big Boulder Dr |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234566126 |
| Phone Number | 7574711746 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
|
Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
|
Post Comment/ Review Below
What is the unique identifier code issued to Heath Wade Wallace by the Centers for Medicare & Medicaid Services?
The Heath Wade Wallace has been assigned the NPI (National Provider Identifier) 1558323725. 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 share the complete physical address where Heath Wade Wallace is geographically located?
The Heath Wade Wallace is physically situated at the following location: 1973 Big Boulder Dr, Virginia Beach, VA, 234566126.
What is Heath Wade Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Heath Wade Wallace's specialized field of practice is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of specialization is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558323725 to Heath Wade Wallace?
The Heath Wade Wallace received its 1558323725 assignment from the Centers for Medicare & Medicaid Services on 2006-04-04.
When was the information regarding Heath Wade Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heath Wade Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.