Wallace, Simon

Wallace, Simon is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-2004. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Wallace, Simon can be contacted via phone (608) 263-6400.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-2004
Phone: (608) 263-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 72026 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 7636-851 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD477813 Pennsylvania

Profile Details

NPI number 1437685914
LBN Legal business name Wallace, Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2017
Last updated Jan 19th, 2023 - about 2 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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