Drew Michael Wallace ATC

  • NPI 1669878625
According to our database, the NPI number for Drew Michael Wallace ATC is 1669878625 and activated since 9 years ago. Drew Michael Wallace ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 17823 Poplar Grove Rd, Poplar Grove, IL 61065. You can also contact Drew Michael Wallace ATC via telephone number is (815) 765-3311. Provider NPI information was last updated on 11/18/2014.

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Overview of Drew Michael Wallace ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/18/2014
  • Last updated: 11/18/2014

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 200014924
  • License State: IL

Provider Mailing Address

  • Address: 5061 Linden Rd
    #5303
    Rockford, IL 61109
  • Phone: 815-878-5391
  • Fax:

Provider Practice Location

  • Address: 17823 Poplar Grove Rd
    Poplar Grove, IL 61065
  • Phone: 815-765-3311
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 200014924
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Drew Michael Wallace ATC?
  • A: The npi number for Drew Michael Wallace ATC is 1669878625.
  • Q: What are Drew Michael Wallace ATC's specialties?
  • A: Drew Michael Wallace ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Drew Michael Wallace ATC?
  • A: The medical license number for Drew Michael Wallace ATC is 200014924 and issued in IL in USA.
  • Q: Where is Drew Michael Wallace ATC practice location?
  • A: Drew Michael Wallace ATC is practicing at 17823 Poplar Grove Rd, Poplar Grove, IL 61065.
  • Q: How to contact Drew Michael Wallace ATC?
  • A: You can contact Drew Michael Wallace ATC via 815-765-3311.
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