Wallace, William S
Wallace, William S is an individual health care provider with primary practice located at 700 W Central Ave Suite 105, El Dorado KS 67042-2184. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wallace, William S can be contacted via phone (316) 322-9813.Contact Information
Primary practice address
700 W Central Ave Suite 105
El Dorado KS 67042-2184
Phone: (316) 322-9813
Fax: (316) 322-9806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | KS44943 | Kansas |
Profile Details
| NPI number | 1467429860 |
|---|---|
| LBN Legal business name | Wallace, William S |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Feb 10th, 2017 - about 9 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 | 1467429860 | NPPES |
| Kansas | MEDICAID | PENDING |
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