Wallace, Henry C.
Wallace, Henry C. is an individual health care provider with primary practice located at 301 Southridge Blvd Ste A , Heber Springs AR 72543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallace, Henry C. can be contacted via phone (501) 206-0176.Contact Information
Primary practice address
301 Southridge Blvd Ste A
Heber Springs AR 72543
Phone: (501) 206-0176
Fax: (501) 206-0179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | N4831 | Texas |
Profile Details
| NPI number | 1922327485 |
|---|---|
| LBN Legal business name | Wallace, Henry C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2010 |
| Last updated | Jan 11th, 2019 - about 7 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 | 1922327485 | NPPES |
| Arkansas | Other | 1922327485 | NPI |
| Arkansas | MEDICAID | 188382001 | NPI |
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