Carol A Wallace
Pediatric Rheumatology | Female
Carol A Wallace is a Seattle, Washington based Pediatric doctor with medical specialization in
Pediatric Rheumatology.
Current practice location of Carol A Wallace is
4800 Sand Point Way Ne, Seattle, Washington - 98105-3901. She can be contacted on phone at
206-987-2000.
Carol A Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Carol A Wallace is
1639250996 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 08 Jun, 2015.
Carol A Wallace license number is
MD00014380 for Pediatrics Pediatric Rheumatology (2080P0216X) in Washington.
Carol A Wallace treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Complete Profile:
Carol A Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Rheumatology |
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| Provider Name : | Carol A Wallace |
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| Gender : | Female |
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Business Address:
Carol A Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4800 Sand Point Way Ne
Seattle, WA, 98105-3901
United States |
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| Phone Number : | 206-987-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639250996 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 08 Jun, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol A Wallace are as mentioned. Primary taxonomy code for Carol A Wallace is
2080P0216X (Pediatrics Pediatric Rheumatology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0216X | Pediatrics Pediatric Rheumatology | Yes | MD00014380 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Carol A Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6570 | Other | | INTERNAL ID-MOTOR VEHICLE ID |
| 1524107 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4500 Sand Point Way Ne, #100
Seattle, WA, 98105-3900
United States |
|---|
Business Location:
Patients can refer following map for directions to
Carol A Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.