Wallace, Brian J
Wallace, Brian J is an individual health care provider with primary practice located at 325 Princeton Ave , Princeton NJ 08540-1617. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wallace, Brian J can be contacted via phone (609) 924-8131.Contact Information
Primary practice address
325 Princeton Ave
Princeton NJ 08540-1617
Phone: (609) 924-8131
Fax: (609) 924-8532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00183300 | New Jersey |
Profile Details
| NPI number | 1427248350 |
|---|---|
| LBN Legal business name | Wallace, Brian J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 26th, 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 | 1427248350 | NPPES |
| New Jersey | Other | 25MP00183300 | MEDICAL LICENSE |
Popular Providers
-
Little, Kelly E
325 Princeton Ave , Princeton NJ 08540-1617 -
Schwizer, Christopher Glenn
325 Princeton Ave , Princeton NJ 08540-1617 -
Fries, Steven P
325 Princeton Ave , Princeton NJ 08540-1617 -
Leiter, Gregory M
325 Princeton Ave , Princeton NJ 08540-1617 -
Hollander, Alan
325 Princeton Ave , Princeton NJ 08540-1617 -
Thornton, Joseph Harold
Princeton University Health Mccosh Health Center, Princeton NJ 08544-0001 -
Lazzaro, Nicole K
8 Forrestal Rd S Ste 202 , Princeton NJ 08540-6658 -
Killian, Stephen M
325 Princeton Ave , Princeton NJ 08540-1617