Nevyas-Wallace, Anita
Nevyas-Wallace, Anita is an individual health care provider with primary practice located at 333 E City Ave 2 Bala Plaza, Bala Cynwyd PA 19004-1501. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Nevyas-Wallace, Anita can be contacted via phone (610) 668-2777.Contact Information
Primary practice address
333 E City Ave 2 Bala Plaza
Bala Cynwyd PA 19004-1501
Phone: (610) 668-2777
Fax: (610) 668-1509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD031809E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD031809E | Pennsylvania |
Profile Details
| NPI number | 1699759191 |
|---|---|
| LBN Legal business name | Nevyas-Wallace, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699759191 | NPPES |
| New Jersey | Other | 0703757000 | AMERIHEALTH HMO |
| New Jersey | Other | 0110114000 | AMERIHEALTH HMO |
| New Jersey | Other | 0110114000 | AMERIHEALTH HMO |
| New Jersey | Other | 0004407700 | AMERIHEALTH HMO |
| New Jersey | MEDICAID | 0012162020001 | AMERIHEALTH HMO |
| New Jersey | Other | 1054207 | AMERIHEALTH HMO |
| New Jersey | Other | 31236G | AMERIHEALTH HMO |
| New Jersey | Other | 10240MD031809E | AMERIHEALTH HMO |
| New Jersey | Other | 483140 | AMERIHEALTH HMO |
| New Jersey | Other | 510550 | AMERIHEALTH HMO |
| New Jersey | Other | 483038 | AMERIHEALTH HMO |
| New Jersey | Other | CA2279 | AMERIHEALTH HMO |
| New Jersey | MEDICAID | 6211101 | AMERIHEALTH HMO |
| New Jersey | Other | 760539 | AMERIHEALTH HMO |
| New Jersey | Other | 912202 | AMERIHEALTH HMO |
| New Jersey | Other | 0703757000 | AMERIHEALTH HMO |
| New Jersey | Other | 180020274 | AMERIHEALTH HMO |
Popular Providers
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Pro, Michael J
100 Presidential Blvd Ste 200 , Bala Cynwyd PA 19004-1108 -
Fischer, David H
100 Presidential Blvd Suite 100, Bala Cynwyd PA 19004-1108 -
Russin, Simon R
301 E City Ave Suite G2, Bala Cynwyd PA 19004-1708 -
Stein, Mitchell E
333 E City Ave 2 Bala Plaza, Bala Cynwyd PA 19004-1501 -
Schmidt, Courtland M
100 Presidential Blvd Ste 200 , Bala Cynwyd PA 19004-1108 -
Chung, Christine Angela
100 Presidential Blvd Suite 200, Bala Cynwyd PA 19004-1108 -
Nelson, Leonard B
100 Presidential Blvd Ste 200 , Bala Cynwyd PA 19004-1108 -
Tipperman, Richard
100 Presidential Blvd Ste 200 , Bala Cynwyd PA 19004-1108