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DOMINIQUE WALLACE
NPI 1265324511
Non-emergency Medical Transport (VAN) in Milwaukee, WI

Active since July 18, 2025
3739 N 38TH ST, MILWAUKEE, WI 53216(262) 672-3139(262) 672-3139 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE WALLACE (NPI 1265324511) is an individual non-emergency medical transport (van) provider in Milwaukee, Wisconsin, licensed in Wisconsin (W4201789495600) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1265324511
Entity TypeIndividualFemale
Primary Taxonomy343900000X
Provider Legal NameDOMINIQUE WALLACE
Location Address3739 N 38TH STMilwaukee, WI 53216-3011
Mailing Address3739 N 38th StMilwaukee, WI 53216-3011 · (262) 672-3139 · Fax (262) 672-3139
Phone(262) 672-3139
Fax(262) 672-3139
Sole ProprietorYes
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1265324511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
License✔ Licensed in WI · W4201789495600
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
3739 N 38TH ST, Milwaukee, WI 53216
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Wallace's NPI number?

The NPI number for Dominique Wallace is 1265324511. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Dominique Wallace located?

Dominique Wallace practices at 3739 N 38th St, Milwaukee, WI 53216. The listed phone number is (262) 672-3139.

What is Dominique Wallace's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Dominique Wallace was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.