Wallace, Carol A
Wallace, Carol A is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105-3901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Wallace, Carol A can be contacted via phone (206) 987-2000.Contact Information
Primary practice address
4800 Sand Point Way Ne
Seattle WA 98105-3901
Phone: (206) 987-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | MD00014380 | Washington |
Profile Details
| NPI number | 1639250996 |
|---|---|
| LBN Legal business name | Wallace, Carol A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jun 8th, 2015 - about 10 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 | 1639250996 | NPPES |
| Other | 6570 | INTERNAL ID-MOTOR VEHICLE ID | |
| MEDICAID | 1524107 | INTERNAL ID-MOTOR VEHICLE ID |
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