Wallin, Brett S.
Wallin, Brett S. is an individual health care provider with primary practice located at 368 E Riverside Dr Ste 3B , Saint George UT 84790-7068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wallin, Brett S. can be contacted via phone (435) 656-3324.Contact Information
Primary practice address
368 E Riverside Dr Ste 3B
Saint George UT 84790-7068
Phone: (435) 656-3324
Fax: (435) 656-3325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 81245 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01068450A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7984164-1205 | Utah |
Profile Details
| NPI number | 1457557613 |
|---|---|
| LBN Legal business name | Wallin, Brett S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Aug 31st, 2012 - about 14 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 | 1457557613 | NPPES |
| Indiana | MEDICAID | 201004220 |
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