Wallace, Eric

Wallace, Eric is an individual health care provider with primary practice located at 143 Longwater Dr , Norwell MA 02061-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, Eric can be contacted via phone (781) 878-5200.

Contact Information

Primary practice address
143 Longwater Dr Norwell MA 02061-1683
Phone: (781) 878-5200
Fax: (781) 878-6750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 243033 Massachusetts

Profile Details

NPI number 1154434488
LBN Legal business name Wallace, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 9th, 2016 - about 10 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 1154434488 NPPES
Other 1154434488 TUFTS HEALTH PLAN
MEDICAID 1154434488 TUFTS HEALTH PLAN
Other 7087919 TUFTS HEALTH PLAN
Other 1154434488 TUFTS HEALTH PLAN
Other 04-2297845 TUFTS HEALTH PLAN
Other 042297845 TUFTS HEALTH PLAN
Other 1154434488 TUFTS HEALTH PLAN
Other 1154434488 TUFTS HEALTH PLAN
Other SS0165 TUFTS HEALTH PLAN
Other 042297845 TUFTS HEALTH PLAN
Other 042297845 TUFTS HEALTH PLAN
Other 3748610 TUFTS HEALTH PLAN
Other AA387771 TUFTS HEALTH PLAN

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