Wallace, James M

Wallace, James M is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wallace, James M can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 E State St Saint Croix Falls WI 54024-4117
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37316 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37316 Wisconsin

Profile Details

NPI number 1902908718
LBN Legal business name Wallace, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Feb 2nd, 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 1902908718 NPPES
Other HP27845 HEALTHPARTNERS
Other 64Q42WA HEALTHPARTNERS
MEDICAID 948017000 HEALTHPARTNERS
Other 110168453 HEALTHPARTNERS
Other NA9031017009 HEALTHPARTNERS
MEDICAID 32379700 HEALTHPARTNERS
Other 0413704 HEALTHPARTNERS
Other 27G52WA HEALTHPARTNERS

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