Wallace, William C

Wallace, William C is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite G500, Huntington WV 25701-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, William C can be contacted via phone (304) 691-1262.

Contact Information

Primary practice address
1600 Medical Center Dr Suite G500 Huntington WV 25701-3656
Phone: (304) 691-1262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21450 West Virginia

Profile Details

NPI number 1619937851
LBN Legal business name Wallace, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 17th, 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 1619937851 NPPES
West Virginia MEDICAID 3810000190
West Virginia MEDICAID 64082704
West Virginia MEDICAID 2583128

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