MR. KHALIL RASHAUN WALLACE
NPI 1528516580
Student in an Organized Health Care Education/Training Program in Fairchild Afb, WA

NPI Status: Active since September 19, 2016

Contact Information

7275 NEBRASKA AVE
FAIRCHILD AFB, WA
ZIP 99011
Phone: (786) 512-1492

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About KHALIL WALLACE

This page provides the complete NPI Profile along with additional information for Khalil Wallace, a primary care provider established in Fairchild Afb, Washington with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1528516580 assigned on September 2016. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1528516580
Provider Name
MR. KHALIL RASHAUN WALLACE
Gender
Male
Entity Type
Individual
Location Address
7275 NEBRASKA AVE FAIRCHILD AFB, WA 99011
Location Phone
(786) 512-1492
Mailing Address
7275 NEBRASKA AVE FAIRCHILD AFB, WA 99011
Is Sole Proprietor?
Yes
Enumeration Date
09-19-2016
Last Update Date
09-19-2016
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A primary care provider (PCP) like Khalil Wallace sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528516580
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254810112516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 0 + 1 + 1 + 2 + 5 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528516580 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528516580, enumerated in the NPI registry as an "individual" on September 19, 2016

The provider is located at 7275 Nebraska Ave Fairchild Afb, Wa 99011 and the phone number is (786) 512-1492

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on September 19, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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