Dr. James Frederick Wahl
Dental Public Health
710 N Neil St
Champaign
, Illinois 61820-3013
Dr. James Frederick Wahl
Dental Public Health
710 N Neil St
Champaign
, Illinois 61820-3013
(217) 531-4280
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. James Frederick Wahl
- 710 N Neil St
- Champaign, IL
- Zip : 61820-3013
- Phone : (217) 531-4280
Second Address
- Dr. James Frederick Wahl
- 710 N Neil St
- Champaign, IL
- Zip : 61820-3013
- Phone : (217) 531-4280
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 019-11368 | IL |
National Provider Identifier
| NPI | 1538159173 |
|---|---|
| Provider Name | Dr. James Frederick Wahl |
| First Address | Champaign, IL 61820-3013 |
| Second Address | Champaign, IL 61820-3013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1004112 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.