Ian Wallace

Case Manager/Care Coordinator · Sheridan, WY

Individual Active NPI

NPI number 1770011124

Practice location

151 W Brundage St
Sheridan, WY 82801-4217
Phone
(307) 674-1668
Fax
(307) 674-1667

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NPI record

NPI
1770011124
Entity type
Individual (Type 1)
Enumeration date
May 30, 2017
Last updated
June 27, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Ian Wallace

Ian Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 151 W Brundage St, Sheridan, WY 82801-4217. The NPI number 1770011124 was assigned on May 30, 2017 and the record was last updated on June 27, 2017.

Frequently asked questions

What is the NPI number of Ian Wallace?

The NPI number is 1770011124.

What is the phone number of Ian Wallace?

The phone number listed for the practice location is (307) 674-1668.

Where is Ian Wallace located?

151 W Brundage St, Sheridan, WY 82801-4217.

What is the taxonomy code for Ian Wallace?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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