Wallace, Genevieve Rebecca

Wallace, Genevieve Rebecca is an individual health care provider with primary practice located at 1056 S 88Th St , Louisville CO 80027-9460. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Wallace, Genevieve Rebecca can be contacted via phone (303) 442-6647.

Contact Information

Primary practice address
1056 S 88Th St Louisville CO 80027-9460
Phone: (303) 442-6647
Fax: (303) 442-2696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 57122 Colorado
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DR.0057122 Colorado

Profile Details

NPI number 1750560579
LBN Legal business name Wallace, Genevieve Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Jun 2nd, 2022 - about 3 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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