Carter, Wallace
Carter, Wallace is an individual health care provider with primary practice located at 525 E 68Th St , New York NY 10021-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carter, Wallace can be contacted via phone (212) 746-0780.Contact Information
Primary practice address
525 E 68Th St
New York NY 10021-4870
Phone: (212) 746-0780
Fax: (212) 746-4883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 179360 | New York |
Profile Details
| NPI number | 1427145523 |
|---|---|
| LBN Legal business name | Carter, Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1427145523 | NPPES |
| New York | MEDICAID | 01801234 |
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