Wallace, Ernest
Wallace, Ernest is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, Ernest can be contacted via phone (217) 222-6550.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036113040 | Illinois |
Profile Details
| NPI number | 1871566653 |
|---|---|
| LBN Legal business name | Wallace, Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Feb 12th, 2010 - about 14 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 | 1871566653 | NPPES |
| Illinois | MEDICAID | 036113040 |
Popular Providers
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Holden, Michael D
Broardway At 11Th Street , Quincy IL 62350-7005 -
Dykstra, Arthur M.
1025 Maine St , Quincy IL 62301-4038 -
Eling, Michael J.
1025 Maine St , Quincy IL 62301-4038 -
Noble, Richard K
1025 Maine St , Quincy IL 62301-4038 -
Frazier, Eldon L.
1025 Maine St , Quincy IL 62301-4038 -
Wells, Jeffrey
1025 Maine St , Quincy IL 62301-4038 -
Asbury, Kathy B
1025 Maine St , Quincy IL 62301-4038 -
Manarang, Don
1025 Maine St , Quincy IL 62301-4038