Glenn Wallace
Rehabilitation Practitioner
200 Wilson Cir
Boulder City
, Nevada 89005-4401
Glenn Wallace
Rehabilitation Practitioner
200 Wilson Cir
Boulder City
, Nevada 89005-4401
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Glenn Wallace
- 200 Wilson Cir
- Boulder City, NV
- Zip : 89005-4401
- Phone :
Second Address
- Glenn Wallace
- 200 Wilson Cir
- Boulder City, NV
- Zip : 89005-4401
- Phone : (702) 294-7100
Reviews
FAQs
Where did Glenn Wallace attend graduate school?
Where did Glenn Wallace do his residency?
Where did Glenn Wallace do his fellowship?
Is Glenn Wallace board certified?
What type of doctor is Glenn Wallace
In what state does Glenn Wallace practice in?
Where is Glenn Wallace ’s practice located?
What is Glenn Wallace ’s gender?
Is Glenn Wallace a sole practitioner?
Is Glenn Wallace accepting new patients?
What languages does Glenn Wallace speak?
Does Glenn Wallace accept insurance?
Does Glenn Wallace offers telemedicine?
What is Glenn Wallace ’s professional license number?
What is Glenn Wallace ’s NPI number?
Does Glenn Wallace have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1013410778 |
|---|---|
| Provider Name | Glenn Wallace |
| First Address | Boulder City, NV 89005-4401 |
| Second Address | Boulder City, NV 89005-4401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2018 |
| Last Update Date | 08/03/2018 |
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.