Wallace, Janet Nease

Wallace, Janet Nease is an individual health care provider with primary practice located at 2900 1St Ave Opc Suite 30, Huntington WV 25702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wallace, Janet Nease can be contacted via phone (304) 399-7280.

Contact Information

Primary practice address
2900 1St Ave Opc Suite 30 Huntington WV 25702
Fax: (304) 399-7282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17387 West Virginia

Profile Details

NPI number 1023001138
LBN Legal business name Wallace, Janet Nease
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Apr 22nd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023001138 NPPES
Ohio MEDICAID 0309964
Ohio MEDICAID 7100350580
Ohio MEDICAID 0046053000

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