MR. JAMES CHRISTOPHER WALLACE


Address: Uss Ross, Ddg 71, Fpo, AE 09586-1288
Phone: 7574442608

MR. JAMES CHRISTOPHER WALLACE (NPI# 1538338413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538338413
Entity Type Individual
Full Name MR. JAMES CHRISTOPHER WALLACE
Credential NAVY IDC
Practice Address Uss Ross
Ddg 71
Fpo
AE 09586-1288
Practice Telephone 7574442608
Enumeration Date 2008-02-26
Last Update Date 2010-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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Office Location

Street Address USS ROSS
DDG 71
City FPO
State AE
Zip Code 09586-1288

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497084677 Jerald J Poole Military Health Care Provider Uss Ramage, Ddg 61, Fpo, AE 09586-1279 2009-12-16
1275595654 William T Heck Military Health Care Provider Medical Department, Uss Ramage (ddg 61), Fpo, AE 09586-1279 2006-04-03
1427323112 Mercedes Rae Sawin Military Health Care Provider Uss Ross Ddg 71, Fpo, AE 09586-1288 2012-03-14

Providers in the same city

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

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1649810219 Maxwell Onyedikachi Osisioma Military Health Care Provider Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 2020-01-13
1508406273 Daniel Levin Military Health Care Provider 3d Recon Bn Aid Station, Fpo, AP 96389-6189 2020-01-10
1053955609 Christopher Zartman Military Health Care Provider Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 2019-11-06
1912553975 Brandon Joseph Dapper Military Health Care Provider Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 2019-08-15
1518525583 William Edward Mcbreen Jr. Military Health Care Provider Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 2019-06-04
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Competitor

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City FPO
Zip Code 09586

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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