Wales, Robert Alan

Wales, Robert Alan is an individual health care provider with primary practice located at 2315 8Th St Grade , Lewiston ID 83501-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wales, Robert Alan can be contacted via phone (509) 455-8820.

Contact Information

Primary practice address
2315 8Th St Grade Lewiston ID 83501-7301
Phone: (509) 455-8820
Fax: (509) 227-7070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-8366 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00040353 Washington

Profile Details

NPI number 1003820275
LBN Legal business name Wales, Robert Alan
Credentials MD, FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 1st, 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 1003820275 NPPES
Washington Other 060064955 RRB
Washington MEDICAID 8283913 RRB
Washington MEDICAID 806097900 RRB

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