John Wallace
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
About John Wallace
John Wallace is a male healthcare professional specializing in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities, registered under National Provider Identifier (NPI) number 1053126706.
Their primary practice is located at 6732 S 73RD STREET CIR, Ralston, Nebraska 68127. Patients can reach the office at (531) 772-8700. John Wallace has been NPI-registered since 2025.
Doctor Details
Identity & Credentials
- NPI Number
- 1053126706
- Entity Type
- Individual
- First Name
- John
- Last Name
- Wallace
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 6732 S 73RD STREET CIR
- City
- Ralston
- State
- Nebraska
- ZIP
- 68127-4387
- Country
- United States
- Phone
- (531) 772-8700
Specialty & Taxonomy
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Classification
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 6732 S 73RD STREET CIR
- City
- RALSTON
- State
- NE
- ZIP
- 681274387
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is John Wallace's NPI number?
What does John Wallace specialize in?
Where is John Wallace located?
Does John Wallace accept Medicare?
Does John Wallace offer telehealth or virtual visits?
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 John Wallace is 1053126706.