Wallace, Stephenie B
Wallace, Stephenie B is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Wallace, Stephenie B can be contacted via phone (205) 939-9345.Contact Information
Primary practice address
1600 7Th Ave S
Birmingham AL 35233-1711
Phone: (205) 939-9345
Fax: (205) 975-7307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25999 | Alabama |
Profile Details
| NPI number | 1417977646 |
|---|---|
| LBN Legal business name | Wallace, Stephenie B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 13th, 2011 - about 14 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 | 1417977646 | NPPES |
| Alabama | MEDICAID | 009958245 | |
| Alabama | MEDICAID | 009958265 |
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