Wallace, Bodi Grayson
Wallace, Bodi Grayson is an sole proprietor health care provider with primary practice located at 5408 Morning Glory St , South Bloomfield OH 43103-3518. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Wallace, Bodi Grayson can be contacted via phone (740) 497-6108.Contact Information
Primary practice address
5408 Morning Glory St
South Bloomfield OH 43103-3518
Phone: (740) 497-6108
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
NPI number | 1609624881 |
---|---|
LBN Legal business name | Wallace, Bodi Grayson |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2024 |
Last updated | May 11th, 2024 - about 7 months 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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