Mr. Coleman W Wallace
Counselor, Pastoral in Willingboro, New Jersey
1720863913- Practice location
- 15 Edge CT, Willingboro, NJ 08046-2412
- Phone
- 609-500-7139
- Fax
- —
- Last updated
- August 30, 2023
Coleman W Wallace is a Counselor, Pastoral based in Willingboro, NJ. Coleman W Wallace practices in Willingboro, NJ. The NPI Number for Coleman W Wallace is 1720863913. The current practice location address for Coleman W Wallace is 15 Edge CT, Willingboro, NJ 08046-2412 and can be reached out via phone at 609-500-7139.
Provider Profile Details
- NPI Number
- 1720863913
- Provider Name
- Coleman W Wallace
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Edge CT, Willingboro, NJ 08046-2412
- Phone Number
- 609-500-7139
- Primary Taxonomy
- Counselor, Pastoral · 101YP1600X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 28, 2023
- Last Update Date
- August 30, 2023
- Certification Date
- August 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Edge CT
Willingboro, NJ 08046-2412 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-2412
- Phone Number
- 609-500-7139
Provider Business Mailing Address Details
- Address
- 15 Edge CT
Willingboro, NJ 08046-2412 - City
- Willingboro
- State
- NJ
- Zip
- 08046-2412
- Phone Number
- 609-500-7139
License Information
- License State
- NJ
- Taxonomy
- Counselor, Pastoral · 101YP1600X · 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. Coleman W Wallace?
The NPI number of Mr. Coleman W Wallace is 1720863913. It was assigned on August 28, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Coleman W Wallace?
Mr. Coleman W Wallace is registered under the primary taxonomy Counselor, Pastoral (code 101YP1600X).
Where does Mr. Coleman W Wallace practice?
The practice location is 15 Edge CT, Willingboro, NJ 08046-2412. The office can be reached at 609-500-7139 (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 1720863913 directly on the NPPES registry website.