Ernest Wallace is a Family Medicine in Quincy, Illinois. Ernest Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ernest Wallace is 1871566653. The last update date is 2010-02-12.
Ernest Wallace's current location address is 1025 Maine St, Quincy, Illinois. You can contact this provider via phone number 2172226550. The mailing address for Ernest Wallace is 1025 Maine St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ernest Wallace |
---|---|
Address | 1025 Maine St, Quincy, Illinois |
Phone Number | 2172226550 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1871566653 |
---|---|
Provider Enumeration Date | 2006-02-10 |
Last Updated Date | 2010-02-12 |
Provider Mailing Address Detail
Address | 1025 Maine St |
---|---|
City | Quincy |
State | Illinois (IL) |
Post Code | 623014038 |
Phone Number | 2172226550 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 36113040 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36113040 | IL | -- |
Post Comment/ Review Below
What is the Ernest Wallace's 1871566653?
The Ernest Wallace's NPI (National Provider Identifier) Number is 1871566653. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ernest Wallace located?
The Ernest Wallace is located at 1025 Maine St, Quincy, IL 623014038.
Could you please provide the complete physical location address of Ernest Wallace?
The Ernest Wallace is physically situated at 1025 Maine St, in the city of Quincy, state of IL, with the postal code 623014038.
On what date did the Centers for Medicare & Medicaid Services issue the 1871566653 to Ernest Wallace?
The Ernest Wallace received its 1871566653 assignment from the Centers for Medicare & Medicaid Services on 2006-02-10.
When was the Ernest Wallace's information last updated?
The Ernest Wallace's information was last updated on 2010-02-12.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM