Pearson, Wallace George

Pearson, Wallace George is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 149, Marquette MI 49855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pearson, Wallace George can be contacted via phone (906) 228-7020.

Contact Information

Primary practice address
1414 W Fair Ave Suite 149 Marquette MI 49855
Phone: (906) 228-7020
Fax: (906) 228-9371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301065569 Michigan

Profile Details

NPI number 1881605350
LBN Legal business name Pearson, Wallace George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 5th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881605350 NPPES
Michigan Other 0E26013 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 3169700 BLUE CROSS BLUE SHIELD MI

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