Mr. Ryan M Wallace, HEALTH SERVICES TECH
Emergency Medical Technician, Basic in Buzzards Bay, Massachusetts
1003891920- Practice location
- 5201 Lee RD, Buzzards Bay, MA 02542-1313
- Phone
- 508-968-6572
- Fax
- 508-968-6581
- Last updated
- July 13, 2026
Ryan Michael Wallace is an Emergency Medical Technician, Basic based in Buzzards Bay, MA. Ryan Michael Wallace practices in Buzzards Bay, MA and has the professional credentials of HEALTH SERVICES TECH. The NPI Number for Ryan Michael Wallace is 1003891920 and holds a License No. B1552861 (CA). The current practice location address for Ryan Michael Wallace is 5201 Lee RD, Buzzards Bay, MA 02542-1313 and can be reached out via phone at 508-968-6572 and via fax at 508-968-6581.
Provider Profile Details
- NPI Number
- 1003891920
- Provider Name
- Ryan Michael Wallace
- Credential
- HEALTH SERVICES TECH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5201 Lee RD, Buzzards Bay, MA 02542-1313
- Phone Number
- 508-968-6572
- Fax Number
- 508-968-6581
- Primary Taxonomy
- Emergency Medical Technician, Basic · 146N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5201 Lee RD
Buzzards Bay, MA 02542-1313 - City
- Buzzards Bay
- State
- Massachusetts
- Zip
- 02542-1313
- Phone Number
- 508-968-6572
- Fax Number
- 508-968-6581
Provider Business Mailing Address Details
- Address
- 5425 Carpenter Ave
Apt A
Buzzards Bay, MA 02542-1587 - City
- Buzzards Bay
- State
- MA
- Zip
- 02542-1587
- Phone Number
- 508-968-6572
- Fax Number
- 508-968-6581
License Information
- License Number
- B1552861
- License State
- CA
- Taxonomy
- Emergency Medical Technician, Basic · 146N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Ryan M Wallace, HEALTH SERVICES TECH?
The NPI number of Mr. Ryan M Wallace, HEALTH SERVICES TECH is 1003891920. It was assigned on December 14, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Ryan M Wallace, HEALTH SERVICES TECH?
Mr. Ryan M Wallace, HEALTH SERVICES TECH is registered under the primary taxonomy Emergency Medical Technician, Basic (code 146N00000X), licensed in CA under license number B1552861.
Where does Mr. Ryan M Wallace, HEALTH SERVICES TECH practice?
The practice location is 5201 Lee RD, Buzzards Bay, MA 02542-1313. The office can be reached at 508-968-6572 (phone) or 508-968-6581 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003891920 directly on the NPPES registry website.