David Wallace in Belleville - Cardiovascular Disease
David Wallace - NPI 1609804525
David Wallace is a Cardiovascular Disease in Belleville, Illinois. David Wallace practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for David Wallace is 1609804525. The last update date is 2017-04-17.
David Wallace's current location address is 340 W Lincoln St, Belleville, Illinois. You can contact this provider via phone number 6182336044 and fax number 6182333287. The mailing address for David Wallace is 340 W Lincoln St, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wallace |
|---|---|
| Address | 340 W Lincoln St, Belleville, Illinois |
| Phone Number | 6182336044 |
| Fax Number | 6182333287 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609804525 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2017-04-17 |
Provider Mailing Address Detail
| Address | 340 W Lincoln St |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622201900 |
| Phone Number | 6182336044 |
| Fax Number | 6182333287 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 36092919 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 360929191 | IL | -- | |
| 107076 | MO | BCBS MO | |
| 2501200 | SECURE HORIZONS | ||
| 37099690008 | GHP | ||
| E43629 | MERCY | ||
| 12269 | ESSENCE | ||
| 60046618 | RR MEDICARE | ||
| 1734162 | UHC | ||
| 205943608 | MO | -- | |
| 235649 | HEALTHLINK |
Post Comment/ Review Below
What is the unique identifier code issued to David Wallace by the Centers for Medicare & Medicaid Services?
The David Wallace has been assigned the NPI (National Provider Identifier) 1609804525. 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 David Wallace is geographically located?
The David Wallace is physically situated at the following location: 340 W Lincoln St, Belleville, IL, 622201900.
What is the David Wallace's area of specialization and corresponding taxonomy classification?
The David Wallace's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1609804525 to David Wallace?
The David Wallace received its 1609804525 assignment from the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date was the information pertaining to David Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-17.
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