Active NPIIndividual provider

Wallace G Jamison, MD

Psychiatry & Neurology, Psychiatry in Allegan, Michigan

NPI Number1215943279
Practice location
3285 122ND Ave, Allegan, MI 49010-9511
Fax
—
Last updated
March 22, 2023

Wallace Glenn Jamison is a Psychiatry & Neurology, Psychiatry based in Allegan, MI. Wallace Glenn Jamison practices in Allegan, MI and has the professional credentials of MD. The NPI Number for Wallace Glenn Jamison is 1215943279 and holds a License No. 234609 (NY). The current practice location address for Wallace Glenn Jamison is 3285 122ND Ave, Allegan, MI 49010-9511 and can be reached out via phone at 269-673-6617.

Provider Profile Details

NPI Number
1215943279
Provider Name
Wallace Glenn Jamison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3285 122ND Ave, Allegan, MI 49010-9511
Phone Number
269-673-6617
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
March 22, 2023
Certification Date
March 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3285 122ND Ave
Allegan, MI 49010-9511
Zip
49010-9511
Phone Number
269-673-6617
Allegan, MI 49010Get directions →

Provider Business Mailing Address Details

Address
29 Northwest Blvd
Nashua, NH 03063-4068
City
Nashua
State
NH
Zip
03063-4068
Phone Number
603-577-5721
Fax Number
603-577-5713

License Information

License Number (1)
234609
License State (1)
NY
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
4301508760
License State (2)
MI
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Wallace G Jamison, MD?

The NPI number of Wallace G Jamison, MD is 1215943279. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Wallace G Jamison, MD?

Wallace G Jamison, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 234609.

Where does Wallace G Jamison, MD practice?

The practice location is 3285 122ND Ave, Allegan, MI 49010-9511. The office can be reached at 269-673-6617 (phone).

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 1215943279 directly on the NPPES registry website.

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