Wallace Shellenberger in Paoli - Psychiatry
Wallace Shellenberger - NPI 1578769766
Wallace Shellenberger is a Psychiatry in Paoli, Indiana. Wallace Shellenberger practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Wallace Shellenberger is 1578769766. The last update date is 2007-07-08.
Wallace Shellenberger's current location address is 488 W Hospital Rd, Paoli, Indiana. You can contact this provider via phone number 8127234301 and fax number 8127234306. The mailing address for Wallace Shellenberger is 488 W Hospital Rd, Paoli, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Shellenberger |
|---|---|
| Address | 488 W Hospital Rd, Paoli, Indiana |
| Phone Number | 8127234301 |
| Fax Number | 8127234306 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578769766 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 488 W Hospital Rd |
|---|---|
| City | Paoli |
| State | Indiana (IN) |
| Post Code | 474548807 |
| Phone Number | 8127234301 |
| Fax Number | 8127234306 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 1020515 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the Wallace Shellenberger's unique identification number?
The Wallace Shellenberger has been assigned the NPI (National Provider Identifier) Number 1578769766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Wallace Shellenberger's physical address?
The Wallace Shellenberger is physically located at 488 W Hospital Rd, in the city of Paoli, IN, with the postal code 474548807.
What is Wallace Shellenberger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wallace Shellenberger's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578769766 to Wallace Shellenberger?
The Wallace Shellenberger received its 1578769766 assignment from the Centers for Medicare & Medicaid Services on 2007-06-25.
As of what date were the details pertaining to Wallace Shellenberger last refreshed?
The information related to the Wallace Shellenberger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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