Wallace, Furman T
Wallace, Furman T is an individual health care provider with primary practice located at 2020 Brown St , Anderson IN 46016-4218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wallace, Furman T can be contacted via phone (765) 649-8161.Contact Information
Primary practice address
2020 Brown St
Anderson IN 46016-4218
Phone: (765) 649-8161
Fax: (765) 641-8274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01029302 | Indiana |
Profile Details
| NPI number | 1508925736 |
|---|---|
| LBN Legal business name | Wallace, Furman T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1508925736 | NPPES |
| Indiana | MEDICAID | 100323620 |
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