Individual
JOHN WALLACE SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
300 E MAIN ST, SUITE 1000, NORFOLK, VA 23510-1753
(757) 628-4347
Mailing address
235 JONATHANS WAY, SUFFOLK, VA 23434-9153
(757) 923-3793
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us