James Lewis Wallace in Charlotte - Prosthetist
James Lewis Wallace - NPI 1396891933
James Lewis Wallace is a Prosthetist in Charlotte, North Carolina. James Lewis Wallace practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for James Lewis Wallace is 1396891933. The last update date is 2010-07-23.
James Lewis Wallace's current location address is 1901 Brunswick Ave, Charlotte, North Carolina. You can contact this provider via phone number 7043484488 and fax number 7043484496. The mailing address for James Lewis Wallace is 1901 Brunswick Ave, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Lewis Wallace |
|---|---|
| Address | 1901 Brunswick Ave, Charlotte, North Carolina |
| Phone Number | 7043484488 |
| Fax Number | 7043484496 |
| Sole Proprietor | N |
| Credentials | CPO |
NPI Number Detail
| NPI Number | 1396891933 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2010-07-23 |
Provider Mailing Address Detail
| Address | 1901 Brunswick Ave |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282072809 |
| Phone Number | 7043484488 |
| Fax Number | 7043484496 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetist |
|---|---|
| Taxonomy | 224P00000X |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7795261 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James Lewis Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The James Lewis Wallace has been assigned the NPI (National Provider Identifier) 1396891933. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where James Lewis Wallace is physically located?
The James Lewis Wallace is physically situated at the following address: 1901 Brunswick Ave, Charlotte, NC, 282072809.
What is the James Lewis Wallace's specialty and taxonomy code?
The James Lewis Wallace's specialty is Prosthetist, and the corresponding taxonomy code is 224P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396891933 to James Lewis Wallace?
The Centers for Medicare & Medicaid Services assigned the 1396891933 to James Lewis Wallace on 2007-01-26.
As of what date were the James Lewis Wallace's details last updated?
The information pertaining to the James Lewis Wallace, including its address, specialty, and other details, was most recently updated on 2010-07-23.
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