Carol A Wallace in Seattle - Pediatric Rheumatology

Carol A Wallace - NPI 1639250996

Carol A Wallace is a Pediatric Rheumatology in Seattle, Washington. Carol A Wallace practices all healthcare services and medical treatments related to Pediatric Rheumatology. The NPI Number for Carol A Wallace is 1639250996. The last update date is 2015-06-08.

Carol A Wallace's current location address is 4800 Sand Point Way Ne, Seattle, Washington. You can contact this provider via phone number 2069872000. The mailing address for Carol A Wallace is 4800 Sand Point Way Ne, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol A Wallace
Address 4800 Sand Point Way Ne, Seattle, Washington
Phone Number 2069872000
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1639250996
Provider Enumeration Date 2006-10-17
Last Updated Date 2015-06-08

Provider Mailing Address Detail

Address 4800 Sand Point Way Ne
City Seattle
State Washington (WA)
Post Code 981053901
Phone Number 2069872000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Rheumatology
Taxonomy 2080P0216X
Licence No MD00014380
Definition:
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6570 INTERNAL ID-MOTOR VEHICLE ID
1524107 WA --

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FAQs about Carol A Wallace

What is the unique 10-digit identifier code issued to Carol A Wallace by the Centers for Medicare & Medicaid Services?

The Carol A Wallace has been assigned the NPI (National Provider Identifier) 1639250996 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carol A Wallace's facilities are situated?

The facilities of Carol A Wallace are physically located at the following address: 4800 Sand Point Way Ne, Seattle, WA, 981053901.

What is Carol A Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Carol A Wallace is Pediatric Rheumatology, and the taxonomy code that classifies this field of practice is 2080P0216X.

On what date did the Carol A Wallace receive its 1639250996 assignment from the Centers for Medicare & Medicaid Services?

The Carol A Wallace was assigned its 1639250996 by the Centers for Medicare & Medicaid Services on 2006-10-17.

As of what date were the details pertaining to Carol A Wallace last refreshed?

The information related to the Carol A Wallace, including its address, specialty, and other relevant details, was last updated on 2015-06-08.

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