Robert Eric Wallace is a Family in Macomb, Illinois. Robert Eric Wallace practices all healthcare services and medical treatments related to Family. The NPI Number for Robert Eric Wallace is 1720007156. The last update date is 2007-07-08.
Robert Eric Wallace's current location address is 1 University Cir, Macomb, Illinois. You can contact this provider via phone number 3092981888 and fax number 3092982188. The mailing address for Robert Eric Wallace is 1 University Cir, Macomb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Eric Wallace |
|---|---|
| Address | 1 University Cir, Macomb, Illinois |
| Phone Number | 3092981888 |
| Fax Number | 3092982188 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1720007156 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 University Cir |
|---|---|
| City | Macomb |
| State | Illinois (IL) |
| Post Code | 614551367 |
| Phone Number | 3092981888 |
| Fax Number | 3092982188 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert Eric Wallace by the Centers for Medicare & Medicaid Services?
The Robert Eric Wallace has been issued the NPI (National Provider Identifier) 1720007156, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Eric Wallace's physical address?
The Robert Eric Wallace is physically located at 1 University Cir, in the city of Macomb, IL, with the postal code 614551367.
What is Robert Eric Wallace's area of expertise and its corresponding taxonomy classification?
The Robert Eric Wallace's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1720007156 to Robert Eric Wallace?
The Robert Eric Wallace received its 1720007156 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the Robert Eric Wallace's information last updated?
The Robert Eric Wallace's information was last updated on 2007-07-08.