Aaron J Wallace, Md,Pllc

LBN: Aaron J Wallace, Md,Pllc
Aaron J Wallace, Md,Pllc is an health care organization with primary practice located at 628 Hospital Dr Suite E, Mountain Home AR 72653-2953. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Aaron J Wallace, Md,Pllc can be contacted via phone (870) 424-4710, or through Wallace, Aaron J via phone (870) 424-4710.

Contact Information

Primary practice address
628 Hospital Dr Suite E Mountain Home AR 72653-2953
Phone: (870) 424-4710
Fax: (870) 424-4780
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Aaron J Doctor of Medicine (MD)
Phone: (870) 424-4710

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1841422003
LBN Legal business name Aaron J Wallace, Md,Pllc
DBA Doing business as
Authorized official Wallace, Aaron J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Jun 24th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841422003 NPPES
Arkansas Other 5G172 BCBS
Arkansas MEDICAID 179058002 BCBS

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