Towle, Wallace W
Towle, Wallace W is an sole proprietor health care provider with primary practice located at 1827 Central Ave , Hot Springs National Park AR 71901-6848. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Towle, Wallace W can be contacted via phone (501) 624-5492.Contact Information
Primary practice address
1827 Central Ave
Hot Springs National Park AR 71901-6848
Phone: (501) 624-5492
Fax: (501) 321-0001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2196 | Arkansas |
Profile Details
| NPI number | 1710047857 |
|---|---|
| LBN Legal business name | Towle, Wallace W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Dec 12th, 2017 - about 8 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 | 1710047857 | NPPES |
| Arkansas | MEDICAID | 102349722 |
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