Wallace, Hugh J
Wallace, Hugh J is an individual health care provider with primary practice located at 1010 Bethesda Ct , Winston Salem NC 27103-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wallace, Hugh J can be contacted via phone (336) 277-8800.Contact Information
Primary practice address
1010 Bethesda Ct
Winston Salem NC 27103-3019
Phone: (336) 277-8800
Fax: (336) 277-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 9701639 | North Carolina |
Profile Details
| NPI number | 1487624581 |
|---|---|
| LBN Legal business name | Wallace, Hugh J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 30th, 2011 - about 15 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 | 1487624581 | NPPES |
| Other | 3603374 | UNITED HEALTHCARE | |
| MEDICAID | 8910714 | UNITED HEALTHCARE | |
| Other | 4652218 | UNITED HEALTHCARE | |
| Other | 10714 | UNITED HEALTHCARE | |
| Other | 74692 | UNITED HEALTHCARE | |
| MEDICAID | 006005403 | UNITED HEALTHCARE | |
| Other | 20464 | UNITED HEALTHCARE | |
| Other | 3131142 | UNITED HEALTHCARE |
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