Wallis, Barrett Jeffrey
Wallis, Barrett Jeffrey is an sole proprietor health care provider with primary practice located at 6152 W Corporate Oaks Dr , Crystal River FL 34429-8722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wallis, Barrett Jeffrey can be contacted via phone (352) 564-3900.Contact Information
Primary practice address
6152 W Corporate Oaks Dr
Crystal River FL 34429-8722
Phone: (352) 564-3900
Fax: (352) 564-3906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME48685 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35.088718 | Ohio |
Profile Details
| NPI number | 1740220938 |
|---|---|
| LBN Legal business name | Wallis, Barrett Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Apr 8th, 2024 - about 2 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 | 1740220938 | NPPES |
| New York | Other | 12042524 | MULTIPLAN |
| New York | Other | 1299092 | MULTIPLAN |
| New York | Other | 146VV | MULTIPLAN |
| New York | MEDICAID | 001690000 | MULTIPLAN |
| New York | Other | 333619 | MULTIPLAN |
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