Wallace, Augie
Wallace, Augie is an individual health care provider with primary practice located at 8600 W Chester Pike Ste 308 , Upper Darby PA 19082-2629. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Wallace, Augie can be contacted via phone (484) 433-8208.Contact Information
Primary practice address
8600 W Chester Pike Ste 308
Upper Darby PA 19082-2629
Phone: (484) 433-8208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 28613601 | Pennsylvania |
Profile Details
| NPI number | 1083083455 |
|---|---|
| LBN Legal business name | Wallace, Augie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Sep 13th, 2021 - about 3 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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