Stevens, Wallace Troy
Stevens, Wallace Troy is an individual health care provider with primary practice located at 1285 Stratford Ave Suite I, Dixon CA 95620-2026. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Stevens, Wallace Troy can be contacted via phone (707) 678-0170.Contact Information
Primary practice address
1285 Stratford Ave Suite I
Dixon CA 95620-2026
Phone: (707) 678-0170
Fax: (707) 678-8306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | DC0218140 | California |
Profile Details
| NPI number | 1790847937 |
|---|---|
| LBN Legal business name | Stevens, Wallace Troy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Mar 27th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790847937 | NPPES |
| California | Other | 680461726 | TAX ID |
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