Wallace, Annette

Wallace, Annette is an sole proprietor health care provider with primary practice located at 1230 2Nd Ave , Columbus GA 31901-5241. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wallace, Annette can be contacted via phone (706) 321-9606.

Contact Information

Primary practice address
1230 2Nd Ave Columbus GA 31901-5241
Phone: (706) 321-9606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1972915205
LBN Legal business name Wallace, Annette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2014
Last updated May 21st, 2014 - about 12 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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