Wallace, Febe Iris
Wallace, Febe Iris is an individual health care provider with primary practice located at 815 W 5Th North St , Morristown TN 37814-3810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wallace, Febe Iris can be contacted via phone (423) 586-5032.Contact Information
Primary practice address
815 W 5Th North St
Morristown TN 37814-3810
Phone: (423) 586-5032
Fax: (423) 581-8473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD23950 | Tennessee |
Profile Details
| NPI number | 1811974512 |
|---|---|
| LBN Legal business name | Wallace, Febe Iris |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Sep 29th, 2020 - about 4 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 | 1811974512 | NPPES |
| Tennessee | MEDICAID | 3889885 |
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