Esper, Wallace J

Esper, Wallace J is an sole proprietor health care provider with primary practice located at 3435 W Lake Rd , Erie PA 16505-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Esper, Wallace J can be contacted via phone (814) 438-3854.

Contact Information

Primary practice address
3435 W Lake Rd Erie PA 16505-3661
Fax: (814) 438-2253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS008755L Pennsylvania

Profile Details

NPI number 1992709489
LBN Legal business name Esper, Wallace J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jul 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992709489 NPPES
Pennsylvania MEDICAID 0015389120005

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