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Glenn Wallace

Rehabilitation Practitioner

200 Wilson Cir
Boulder City , Nevada 89005-4401

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Image

Glenn Wallace

Rehabilitation Practitioner

200 Wilson Cir
Boulder City , Nevada 89005-4401

Write a Review Save Call

Glenn Wallace

Rehabilitation Practitioner

200 Wilson Cir
Boulder City , Nevada 89005-4401

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Practitioner

Languages spoken

  • English

Location

200 Wilson Cir Boulder City , Nevada 89005-4401

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

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FAQs


Where did Glenn Wallace attend graduate school?

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Where did Glenn Wallace do his residency?

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Where did Glenn Wallace do his fellowship?

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Is Glenn Wallace board certified?

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What type of doctor is Glenn Wallace

Rehabilitation Practitioner

In what state does Glenn Wallace practice in?

Nevada

Where is Glenn Wallace ’s practice located?

200 Wilson Cir , Boulder City, Nevada, 89005-4401

What is Glenn Wallace ’s gender?

Male

Is Glenn Wallace a sole practitioner?

No

Is Glenn Wallace accepting new patients?

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What languages does Glenn Wallace speak?

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Does Glenn Wallace accept insurance?

Yes, Glenn Wallace accepts insurance

Does Glenn Wallace offers telemedicine?

Glenn Wallace has not indicated if he offers telemedicine

What is Glenn Wallace ’s professional license number?

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What is Glenn Wallace ’s NPI number?

1013410778

Does Glenn Wallace have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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