Wallace, Stephen Blake
Wallace, Stephen Blake is an individual health care provider with primary practice located at 3055 Roslyn St Unit 200 , Denver CO 80238-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Wallace, Stephen Blake can be contacted via phone (303) 724-7378.Contact Information
Primary practice address
3055 Roslyn St Unit 200
Denver CO 80238-3324
Phone: (303) 724-7378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | DR.0063577 | Colorado |
Profile Details
| NPI number | 1205222502 |
|---|---|
| LBN Legal business name | Wallace, Stephen Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Jul 29th, 2020 - about 5 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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