Ian Wallace
Ian Wallace is a Case Manager/Care Coordinator in Sheridan, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
151 W Brundage StSheridan, WY 82801-4217
Phone: (307) 674-1668
Fax: (307) 674-1667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1770011124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2017 |
| Last updated in NPPES | June 27, 2017 |
| Mailing address | 151 W Brundage St, Sheridan, WY 82801-4217 |
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