Abel, Wallace K

Abel, Wallace K is an individual health care provider with primary practice located at 311 W Lincoln St Ste 200 , Belleville IL 62220-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abel, Wallace K can be contacted via phone (618) 234-2566.

Contact Information

Primary practice address
311 W Lincoln St Ste 200 Belleville IL 62220-1902
Phone: (618) 234-2566
Fax: (618) 234-5650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-076085 Illinois

Profile Details

NPI number 1003808858
LBN Legal business name Abel, Wallace K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Dec 20th, 2021 - about 5 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 1003808858 NPPES
Other 103950 HEALTH ALLIANCE
Other 678480001 HEALTH ALLIANCE
Other 1161218 HEALTH ALLIANCE
Other 80015976 HEALTH ALLIANCE
Other 118809 HEALTH ALLIANCE
Other 166406 HEALTH ALLIANCE
Other 7942001 HEALTH ALLIANCE
Other 14796 HEALTH ALLIANCE
Other 932248051 HEALTH ALLIANCE

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