Wallace, Eric L

Wallace, Eric L is an individual health care provider with primary practice located at 700 W Ironwood Dr 320, Coeur D Alene ID 83814-2656. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wallace, Eric L can be contacted via phone (208) 625-5250.

Contact Information

Primary practice address
700 W Ironwood Dr 320 Coeur D Alene ID 83814-2656
Phone: (208) 625-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X OP60505950 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2007-014326 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03263 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X O0839 Idaho

Profile Details

NPI number 1568658243
LBN Legal business name Wallace, Eric L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2007
Last updated Dec 31st, 2015 - 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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