Clinton Barrett Wallis in Mobile - Specialist
Clinton Barrett Wallis - NPI 1053359208
Clinton Barrett Wallis is a Specialist in Mobile, Alabama. Clinton Barrett Wallis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clinton Barrett Wallis is 1053359208. The last update date is 2007-08-24.
Clinton Barrett Wallis's current location address is 709 Downtowner Loop W, Mobile, Alabama. You can contact this provider via phone number 2513801111 and fax number 2513801110. The mailing address for Clinton Barrett Wallis is 709 Downtowner Loop W, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Barrett Wallis |
|---|---|
| Address | 709 Downtowner Loop W, Mobile, Alabama |
| Phone Number | 2513801111 |
| Fax Number | 2513801110 |
| Sole Proprietor | N |
| Credentials | O.T. |
NPI Number Detail
| NPI Number | 1053359208 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 709 Downtowner Loop W |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366095503 |
| Phone Number | 2513801111 |
| Fax Number | 2513801110 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 2224 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51514463 | AL | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clinton Barrett Wallis by the Centers for Medicare & Medicaid Services?
The Clinton Barrett Wallis has been assigned the NPI (National Provider Identifier) 1053359208 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 Clinton Barrett Wallis?
The Clinton Barrett Wallis is physically situated at 709 Downtowner Loop W, in the city of Mobile, state of AL, with the postal code 366095503.
What is the area of specialization for Clinton Barrett Wallis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clinton Barrett Wallis is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date was the 1053359208 assigned to Clinton Barrett Wallis?
The Clinton Barrett Wallis was issued its 1053359208 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clinton Barrett Wallis most recently updated?
The details pertaining to the Clinton Barrett Wallis, including its address, specialty, and other relevant information, were last refreshed on 2007-08-24.