Everett Wallace

  • NPI 1528655107
According to our database, the NPI number for Everett Wallace is 1528655107 and activated since 3 years ago. Everett Wallace is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 44374 Palm St, Indio, CA 92201. You can also contact Everett Wallace via telephone number is (760) 342-6616. Provider NPI information was last updated on 12/29/2020.

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Overview of Everett Wallace

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/29/2020
  • Last updated: 12/29/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CI30830920
  • License State: CA

Provider Mailing Address

  • Address: 1488 E Ramon Rd Apt 129
    Palm Springs, CA 92264
  • Phone: 901-581-0817
  • Fax:

Provider Practice Location

  • Address: 44374 Palm St
    Indio, CA 92201
  • Phone: 760-342-6616
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Everett Wallace?
  • A: The npi number for Everett Wallace is 1528655107.
  • Q: What are Everett Wallace's specialties?
  • A: Everett Wallace's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Everett Wallace?
  • A: The medical license number for Everett Wallace is CI30830920 and issued in CA in USA.
  • Q: Where is Everett Wallace practice location?
  • A: Everett Wallace is practicing at 44374 Palm St, Indio, CA 92201.
  • Q: How to contact Everett Wallace?
  • A: You can contact Everett Wallace via 760-342-6616.
Medicare Specialty
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