Wallace, Barbara Jean

Wallace, Barbara Jean is an individual health care provider with primary practice located at 707 Roe Ave , Elmira NY 14905-1642. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wallace, Barbara Jean can be contacted via phone (607) 732-6992.

Contact Information

Primary practice address
707 Roe Ave Elmira NY 14905-1642
Phone: (607) 732-6992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 237963-1 New York

Profile Details

NPI number 1063617231
LBN Legal business name Wallace, Barbara Jean
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063617231 NPPES
New York Other 02680899 PROVIDER NUMBER

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