John D Wallace Enterprises in New Bern - Preferred Provider Organization

John D Wallace Enterprises - NPI 1154512424

John D Wallace Enterprises is a Preferred Provider Organization in New Bern, North Carolina. John D Wallace Enterprises practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for John D Wallace Enterprises is 1154512424. The last update date is 2007-08-01.

John D Wallace Enterprises's current location address is 513 George St, New Bern, North Carolina. You can contact this provider via phone number 2525140330. The mailing address for John D Wallace Enterprises is 513 George St, New Bern, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization John D Wallace Enterprises
Address 513 George St, New Bern, North Carolina
Phone Number 2525140330
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wallace David John
Telephone Number 2525140330

NPI Number Detail

NPI Number 1154512424
Provider Enumeration Date 2007-08-01
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address 513 George St
City New Bern
State North Carolina (NC)
Post Code 285604811
Phone Number 2525140330
Fax Number

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

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FAQs about John D Wallace Enterprises

What is the unique identification code assigned to John D Wallace Enterprises by the Centers for Medicare & Medicaid Services?

The John D Wallace Enterprises has been issued the NPI (National Provider Identifier) 1154512424. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John D Wallace Enterprises's facilities are geographically located?

The facilities of John D Wallace Enterprises are physically situated at the following location: 513 George St, New Bern, NC, 285604811.

What is the John D Wallace Enterprises's specialty and taxonomy code?

The John D Wallace Enterprises's specialty is Preferred Provider Organization, and the corresponding taxonomy code is 305R00000X.

On what date did the John D Wallace Enterprises receive its 1154512424 assignment from the Centers for Medicare & Medicaid Services?

The John D Wallace Enterprises was assigned its 1154512424 by the Centers for Medicare & Medicaid Services on 2007-08-01.

As of what date was the information pertaining to John D Wallace Enterprises, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John D Wallace Enterprises, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-01.

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