Wallace, Ryan C

Wallace, Ryan C is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wallace, Ryan C can be contacted via phone (765) 747-3241.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 747-3241
Fax: (765) 281-6567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01061221A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01061221A Indiana

Profile Details

NPI number 1316086291
LBN Legal business name Wallace, Ryan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 6th, 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 1316086291 NPPES
Indiana Other P00742247 RAILROAD MEDICARE
Indiana Other 000000688369 RAILROAD MEDICARE
Indiana MEDICAID 200802900 RAILROAD MEDICARE
Indiana MEDICAID 200802900A RAILROAD MEDICARE
Indiana Other P00841092 RAILROAD MEDICARE
Indiana Other 000000626067 RAILROAD MEDICARE

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