Purdy, Wallace B
Purdy, Wallace B is an individual health care provider with primary practice located at 1088 9Th Ave Sw Suite 104, Bessemer AL 35022-4530. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Purdy, Wallace B can be contacted via phone (205) 426-0546.Contact Information
Primary practice address
1088 9Th Ave Sw Suite 104
Bessemer AL 35022-4530
Phone: (205) 426-0546
Fax: (205) 426-0326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19402 | Alabama |
Profile Details
| NPI number | 1528166832 |
|---|---|
| LBN Legal business name | Purdy, Wallace B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 5th, 2024 - about 2 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 | 1528166832 | NPPES |
| Alabama | MEDICAID | 051526684 |
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