Alan William Wallace, ATC, CSCS, PES

Athletic Trainer · Columbus, OH

Individual Active NPI

NPI number 1902271869

Practice location

2281 Antigua Dr
Apt. 1c
Columbus, OH 43235-6122
Phone
(412) 638-7071

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NPI record

NPI
1902271869
Entity type
Individual (Type 1)
Enumeration date
December 3, 2015
Last updated
December 3, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT-4473 OH

About Alan Wallace

Alan William Wallace, ATC, CSCS, PES is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2281 Antigua Dr, Apt. 1c, Columbus, OH 43235-6122. The NPI number 1902271869 was assigned on December 3, 2015 and the record was last updated on December 3, 2015.

Alan Wallace lists a license in the registry: #AT-4473 (OH) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alan William Wallace, ATC, CSCS, PES?

The NPI number is 1902271869.

What is the phone number of Alan Wallace?

The phone number listed for the practice location is (412) 638-7071.

Where is Alan Wallace located?

2281 Antigua Dr, Apt. 1c, Columbus, OH 43235-6122.

What is the taxonomy code for Alan Wallace?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

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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