Wallman, James K

Wallman, James K is an individual health care provider with primary practice located at 2 West Fern Ave , Redlands CA 92373-5916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wallman, James K can be contacted via phone (909) 793-3311.

Contact Information

Primary practice address
2 West Fern Ave Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 796-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G64273 California

Profile Details

NPI number 1104866383
LBN Legal business name Wallman, James K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 17th, 2007 - about 17 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 1104866383 NPPES
California MEDICAID 00G642730

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