Donetta Wallace in Paintsville - Physician Assistant
Donetta Wallace - NPI 1417958828
Donetta Wallace is a Physician Assistant in Paintsville, Kentucky. Donetta Wallace practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Donetta Wallace is 1417958828. The last update date is 2022-02-01.
Donetta Wallace's current location address is 336 N Mayo Trl, Paintsville, Kentucky. You can contact this provider via phone number 6067898666 and fax number 6067880253. The mailing address for Donetta Wallace is 336 N Mayo Trl, Paintsville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Donetta Wallace |
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Address | 336 N Mayo Trl, Paintsville, Kentucky |
Phone Number | 6067898666 |
Fax Number | 6067880253 |
Sole Proprietor | N |
Credentials | P.A.-C |
NPI Number Detail
NPI Number | 1417958828 |
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Provider Enumeration Date | 2005-08-09 |
Last Updated Date | 2022-02-01 |
Provider Mailing Address Detail
Address | 336 N Mayo Trl |
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City | Paintsville |
State | Kentucky (KY) |
Post Code | 412401804 |
Phone Number | 6067898666 |
Fax Number | 6067880253 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA544 |
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 |
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What is the unique provider identifier assigned to Donetta Wallace?
The Donetta Wallace has been issued the NPI (National Provider Identifier) 1417958828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Donetta Wallace by the Centers for Medicare & Medicaid Services?
The Donetta Wallace has been assigned the NPI (National Provider Identifier) 1417958828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
What is Donetta Wallace's area of expertise and its corresponding taxonomy classification?
The Donetta Wallace's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417958828 to Donetta Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1417958828 to Donetta Wallace on 2005-08-09.
As of what date were the details pertaining to Donetta Wallace last refreshed?
The information related to the Donetta Wallace, including its address, specialty, and other relevant details, was last updated on 2022-02-01.