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IndividualActive

Glenn Wallace

Rehabilitation Practitioner

NPI: 1013410778Boulder City, Nevada, 89005(702) 294-7100Male

About Glenn Wallace

Glenn Wallace is a male healthcare professional specializing in Rehabilitation Practitioner, registered under National Provider Identifier (NPI) number 1013410778. Their primary practice is located at 200 WILSON CIR, Boulder City, Nevada 89005.

Patients can reach the office at (702) 294-7100. Glenn Wallace has been NPI-registered since 2018.

Doctor Details

Identity & Credentials

NPI Number
1013410778
Entity Type
Individual
First Name
Glenn
Last Name
Wallace
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
200 WILSON CIR
City
Boulder City
State
Nevada
ZIP
89005-4401
Country
United States
Phone
(702) 294-7100

Specialty & Taxonomy

Primary Specialty
Rehabilitation Practitioner
Classification
Rehabilitation Practitioner
Taxonomy Code
225400000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
200 WILSON CIR
City
BOULDER CITY
State
NV
ZIP
890054401

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Glenn Wallace's NPI number?
Glenn Wallace's National Provider Identifier (NPI) is 1013410778. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Glenn Wallace specialize in?
Glenn Wallace specializes in Rehabilitation Practitioner.
Where is Glenn Wallace located?
Glenn Wallace practices at 200 WILSON CIR, Boulder City, Nevada 89005. You can reach them by phone at (702) 294-7100.
Does Glenn Wallace accept Medicare?
Based on available data, Glenn Wallace is not currently enrolled in the Medicare program.
Does Glenn Wallace offer telehealth or virtual visits?
Glenn Wallace does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Glenn Wallace is 1013410778.