Wallace, Beverly Rose

Wallace, Beverly Rose is an sole proprietor health care provider with primary practice located at 3719 Benson Dr , Raleigh NC 27609-7324. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Wallace, Beverly Rose can be contacted via phone (919) 368-6227.

Contact Information

Primary practice address
3719 Benson Dr Raleigh NC 27609-7324
Phone: (919) 368-6227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1942759238
LBN Legal business name Wallace, Beverly Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2016
Last updated Sep 27th, 2016 - about 8 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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