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
Phone: (304) 399-7280
Fax: (304) 399-7282
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023001138 | NPPES |
Ohio | MEDICAID | 0309964 | |
Ohio | MEDICAID | 7100350580 | |
Ohio | MEDICAID | 0046053000 |
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