James Edward Wallace in Champaign - Physician Assistant
James Edward Wallace - NPI 1053539783
James Edward Wallace is a Physician Assistant in Champaign, Illinois. James Edward Wallace practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James Edward Wallace is 1053539783. The last update date is 2013-09-24.
James Edward Wallace's current location address is 101 W University Ave, Champaign, Illinois. You can contact this provider via phone number 2173668796 and fax number 2173666106. The mailing address for James Edward Wallace is 101 W University Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edward Wallace |
|---|---|
| Address | 101 W University Ave, Champaign, Illinois |
| Phone Number | 2173668796 |
| Fax Number | 2173666106 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053539783 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2013-09-24 |
Provider Mailing Address Detail
| Address | 101 W University Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203909 |
| Phone Number | 2173668796 |
| Fax Number | 2173666106 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85000087 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James Edward Wallace by the Centers for Medicare & Medicaid Services?
The James Edward Wallace has been assigned the NPI (National Provider Identifier) 1053539783 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the James Edward Wallace located?
The James Edward Wallace is located at 101 W University Ave, Champaign, IL 618203909.
What is James Edward Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James Edward Wallace's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did James Edward Wallace receive its 1053539783 assignment from the Centers for Medicare & Medicaid Services?
The James Edward Wallace was assigned its 1053539783 on 2007-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to James Edward Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James Edward Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-24.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY