Wallace, Calvin P
Wallace, Calvin P is an individual health care provider with primary practice located at 17700 Se 272Nd St , Covington WA 98042-4951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, Calvin P can be contacted via phone (253) 372-7128.Contact Information
Primary practice address
17700 Se 272Nd St
Covington WA 98042-4951
Phone: (253) 372-7128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00024602 | Washington |
Profile Details
| NPI number | 1922026236 |
|---|---|
| LBN Legal business name | Wallace, Calvin P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 10th, 2010 - about 14 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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