Wallace, B J
Wallace, B J is an individual health care provider with primary practice located at 2955 S Broadway , Englewood CO 80113-1526. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Wallace, B J can be contacted via phone (303) 788-1124.Contact Information
Primary practice address
2955 S Broadway
Englewood CO 80113-1526
Phone: (303) 788-1124
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 11470 | Colorado |
Profile Details
| NPI number | 1518001312 |
|---|---|
| LBN Legal business name | Wallace, B J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Oct 5th, 2007 - about 17 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 | 1518001312 | NPPES |
| Other | 005083 | KAISER-COMMERCIAL NUMBER |
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