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
Fax: (501) 321-0001
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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 1710047857 NPPES
Arkansas MEDICAID 102349722

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