B J Wallace is a General Practice in Englewood, Colorado. B J Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for B J Wallace is 1518001312. The last update date is 2007-10-05.
B J Wallace's current location address is 2955 S Broadway, Englewood, Colorado. You can contact this provider via phone number 3037881124. The mailing address for B J Wallace is 2955 S Broadway, Englewood, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | B J Wallace |
|---|---|
| Address | 2955 S Broadway, Englewood, Colorado |
| Phone Number | 3037881124 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518001312 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 2955 S Broadway |
|---|---|
| City | Englewood |
| State | Colorado (CO) |
| Post Code | 801131526 |
| Phone Number | 3037881124 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 11470 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5083 | KAISER-COMMERCIAL NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to B J Wallace by the Centers for Medicare & Medicaid Services?
The B J Wallace has been issued the NPI (National Provider Identifier) 1518001312 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where B J Wallace's facilities are situated?
The facilities of B J Wallace are physically located at the following address: 2955 S Broadway, Englewood, CO, 801131526.
What is B J Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for B J Wallace is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518001312 to B J Wallace?
The B J Wallace received its 1518001312 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the information related to B J Wallace most recently updated or refreshed?
The details pertaining to the B J Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-05.
NPI Number: 1467458307
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