Scott C. Wallace Md Inc

LBN: Scott C. Wallace Md Inc
Scott C. Wallace Md Inc is an health care organization with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Scott C. Wallace Md Inc can be contacted via phone (301) 305-5959, or through Wallace, Scott C via phone (765) 284-0493.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 92243-4306
Phone: (301) 305-5959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Scott C Doctor of Medicine (MD)
Phone: (765) 284-0493

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X

Profile Details

NPI number 1104394329
LBN Legal business name Scott C. Wallace Md Inc
DBA Doing business as
Authorized official Wallace, Scott C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2018
Last updated Jan 16th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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