Wallace, Milton Andrew
Wallace, Milton Andrew is an individual health care provider with primary practice located at 6144 Airport Blvd , Mobile AL 36608-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallace, Milton Andrew can be contacted via phone (251) 476-5050.Contact Information
Primary practice address
6144 Airport Blvd
Mobile AL 36608-3143
Phone: (251) 476-5050
Fax: (251) 450-2770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 00009824 | Alabama |
Profile Details
| NPI number | 1912964057 |
|---|---|
| LBN Legal business name | Wallace, Milton Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jan 20th, 2010 - 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 | 1912964057 | NPPES |
| Alabama | MEDICAID | 000077346 | |
| Alabama | Other | 110150958 | |
| Alabama | Other | 051077346 | |
| Alabama | MEDICAID | 00118988 | |
| Alabama | Other | 110001007 |
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