Jim F Wallace is a Orthopedic in Bend, Oregon. Jim F Wallace practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jim F Wallace is 1194928481. The last update date is 2016-12-29.
Jim F Wallace's current location address is 404 Ne Penn Ave, Bend, Oregon. You can contact this provider via phone number 5413187041 and fax number 5413883711. The mailing address for Jim F Wallace is 404 Ne Penn Ave, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim F Wallace |
|---|---|
| Address | 404 Ne Penn Ave, Bend, Oregon |
| Phone Number | 5413187041 |
| Fax Number | 5413883711 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1194928481 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2016-12-29 |
Provider Mailing Address Detail
| Address | 404 Ne Penn Ave |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014264 |
| Phone Number | 5413187041 |
| Fax Number | 5413883711 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 2948 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500694596 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jim F Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Jim F Wallace has been assigned the NPI (National Provider Identifier) 1194928481. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jim F Wallace is located?
The Jim F Wallace is situated at the following address: 404 Ne Penn Ave, Bend, OR, 977014264.
What is Jim F Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jim F Wallace is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194928481 to Jim F Wallace?
The Jim F Wallace received its 1194928481 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date were the details pertaining to Jim F Wallace last refreshed?
The information related to the Jim F Wallace, including its address, specialty, and other relevant details, was last updated on 2016-12-29.
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