Wallace, James C

Wallace, James C is an individual health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368-2443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wallace, James C can be contacted via phone (136) 038-5220.

Contact Information

Primary practice address
834 Sheridan St Port Townsend WA 98368-2443
Phone: (136) 038-5220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00028714 Washington

Profile Details

NPI number 1801864327
LBN Legal business name Wallace, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1801864327 NPPES
Washington MEDICAID 8128357
Washington Other 1126WA
Washington Other 820000117

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