Individual provider · Type 1 NPI

William Chase Wallen

Student in an Organized Health Care Education/Training Program · Greensboro, NC

NPI number 1013699248 Active

Practice location

1400 Spring Garden St
Greensboro, NC 27412-5015

Call (336) 334-5000 Map

Mailing address

119 Barclays Dr
Winston Salem, NC 27107-6077

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013699248

William Chase Wallen's National Provider Identifier is 1013699248, issued on Aug 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greensboro, NC. The record was last updated on Aug 16, 2023.