Wallace, Casey
Wallace, Casey is an individual health care provider with primary practice located at 2045 E West Maple Rd Ste D405 , Commerce Township MI 48390-3801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallace, Casey can be contacted via phone (248) 669-9500.Contact Information
Primary practice address
2045 E West Maple Rd Ste D405
Commerce Township MI 48390-3801
Phone: (248) 669-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6362009880 | Michigan |
Profile Details
| NPI number | 1619541877 |
|---|---|
| LBN Legal business name | Wallace, Casey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2021 |
| Last updated | Jan 4th, 2024 - about last year |
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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