Wallisch, Fredrick H
Wallisch, Fredrick H is an individual health care provider with primary practice located at 515 Read St , Evansville IN 47710-1739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallisch, Fredrick H can be contacted via phone (812) 450-3363.Contact Information
Primary practice address
515 Read St
Evansville IN 47710-1739
Phone: (812) 450-3363
Fax: (812) 450-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01059213A | Indiana |
Profile Details
| NPI number | 1528027950 |
|---|---|
| LBN Legal business name | Wallisch, Fredrick H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Sep 15th, 2014 - about 12 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 | 1528027950 | NPPES |
| Indiana | Other | P00315732 | RR MEDICARE |
| Indiana | MEDICAID | 200042820 | RR MEDICARE |
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