Wachalovsky, Marianne
Wachalovsky, Marianne is an sole proprietor health care provider with primary practice located at 5140 Business Center Dr Suite 130, Fairfield CA 94534-1793. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wachalovsky, Marianne can be contacted via phone (707) 646-4218.Contact Information
Primary practice address
5140 Business Center Dr Suite 130
Fairfield CA 94534-1793
Phone: (707) 646-4218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20316 | California |
Profile Details
| NPI number | 1316247737 |
|---|---|
| LBN Legal business name | Wachalovsky, Marianne |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2010 |
| Last updated | Nov 1st, 2010 - about 15 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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