Wallace, Jerald Payden

Wallace, Jerald Payden is an individual health care provider with primary practice located at 800 Rose St C246, Lexington KY 40536-0293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wallace, Jerald Payden can be contacted via phone (859) 323-6162.

Contact Information

Primary practice address
800 Rose St C246 Lexington KY 40536-0293
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49437 Kentucky

Profile Details

NPI number 1730591017
LBN Legal business name Wallace, Jerald Payden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2014
Last updated Jul 7th, 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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