Wallach, Peter Michael
Wallach, Peter Michael is an individual health care provider with primary practice located at 1480 N University Dr , Coral Springs FL 33071-6040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wallach, Peter Michael can be contacted via phone (954) 753-1030.Contact Information
Primary practice address
1480 N University Dr
Coral Springs FL 33071-6040
Phone: (954) 753-1030
Fax: (954) 753-1115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME0029164 | Florida |
Profile Details
| NPI number | 1710987391 |
|---|---|
| LBN Legal business name | Wallach, Peter Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 15th, 2010 - 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 | 1710987391 | NPPES |
| Florida | Other | 0008978 | GHI PROVIDER ID |
| Florida | Other | 406073297 | GHI PROVIDER ID |
| Florida | Other | 0706177 | GHI PROVIDER ID |
| Florida | MEDICAID | 057349300 | GHI PROVIDER ID |
| Florida | Other | 4958275 | GHI PROVIDER ID |
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