William Blaine-Wallace
Counselor, Professional in Farmington, Maine
1730612839- Practice location
- 456 New Vineyard RD, Farmington, ME 04938-5216
- Phone
- 207-491-9645
- Fax
- —
- Last updated
- April 5, 2017
William Blaine-Wallace is a Counselor, Professional based in Farmington, ME. William Blaine-Wallace practices in Farmington, ME. The NPI Number for William Blaine-Wallace is 1730612839 and holds a License No. XP4415 (ME). The current practice location address for William Blaine-Wallace is 456 New Vineyard RD, Farmington, ME 04938-5216 and can be reached out via phone at 207-491-9645.
Provider Profile Details
- NPI Number
- 1730612839
- Provider Name
- William Blaine-Wallace
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 456 New Vineyard RD, Farmington, ME 04938-5216
- Phone Number
- 207-491-9645
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2017
- Last Update Date
- April 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 456 New Vineyard RD
Farmington, ME 04938-5216 - City
- Farmington
- State
- Maine
- Zip
- 04938-5216
- Phone Number
- 207-491-9645
Provider Business Mailing Address Details
- Address
- 456 New Vineyard RD
Farmington, ME 04938-5216 - City
- Farmington
- State
- ME
- Zip
- 04938-5216
- Phone Number
- 207-491-9645
License Information
- License Number
- XP4415
- License State
- ME
- Taxonomy
- Counselor, Professional · 101YP2500X · 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 William Blaine-Wallace?
The NPI number of William Blaine-Wallace is 1730612839. It was assigned on April 5, 2017 and is currently active in the NPPES registry.
What is the specialty of William Blaine-Wallace?
William Blaine-Wallace is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number XP4415.
Where does William Blaine-Wallace practice?
The practice location is 456 New Vineyard RD, Farmington, ME 04938-5216. The office can be reached at 207-491-9645 (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 1730612839 directly on the NPPES registry website.