Wallace, Robert Bruce
Wallace, Robert Bruce is an individual health care provider with primary practice located at 4110 Parliament Dr , Alexandria LA 71303-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wallace, Robert Bruce can be contacted via phone (318) 448-4488.Contact Information
Primary practice address
4110 Parliament Dr
Alexandria LA 71303-2717
Phone: (318) 448-4488
Fax: (318) 448-9731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 012846 | Louisiana |
Profile Details
| NPI number | 1598792293 |
|---|---|
| LBN Legal business name | Wallace, Robert Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598792293 | NPPES |
| Louisiana | MEDICAID | 1191710 |
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