Debra J Wallace in Henderson - Family Medicine
Debra J Wallace - NPI 1033186911
Debra J Wallace is a Family Medicine in Henderson, Kentucky. Debra J Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Debra J Wallace is 1033186911. The last update date is 2013-03-11.
Debra J Wallace's current location address is Po Box 1079, Henderson, Kentucky. You can contact this provider via phone number 2708270353 and fax number 2708274966. The mailing address for Debra J Wallace is Po Box 1079, Henderson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra J Wallace |
|---|---|
| Address | Po Box 1079, Henderson, Kentucky |
| Phone Number | 2708270353 |
| Fax Number | 2708274966 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033186911 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2013-03-11 |
Provider Mailing Address Detail
| Address | Po Box 1079 |
|---|---|
| City | Henderson |
| State | Kentucky (KY) |
| Post Code | 424191079 |
| Phone Number | 2708270353 |
| Fax Number | 2708274966 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 22551 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64225519 | KY | -- | |
| 50002853 | KY | -- | |
| 259190 | KY | ANTHEM BC & BS |
Post Comment/ Review Below
What is the unique identifier code issued to Debra J Wallace by the Centers for Medicare & Medicaid Services?
The Debra J Wallace has been assigned the NPI (National Provider Identifier) 1033186911. 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 street address where Debra J Wallace is physically located?
The Debra J Wallace is physically situated at the following address: Po Box 1079, Henderson, KY, 424191079.
What is Debra J Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Debra J Wallace is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Debra J Wallace receive the assignment of its 1033186911 from the Centers for Medicare & Medicaid Services?
The Debra J Wallace was issued its 1033186911 by the Centers for Medicare & Medicaid Services on 2006-03-01.
As of what date were the Debra J Wallace's details last updated?
The information pertaining to the Debra J Wallace, including its address, specialty, and other details, was most recently updated on 2013-03-11.
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