Wallace, Christopher A

Wallace, Christopher A is an individual health care provider with primary practice located at 34101 Farenholt Ave , San Diego CA 92134-5000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wallace, Christopher A can be contacted via phone (619) 532-7801.

Contact Information

Primary practice address
34101 Farenholt Ave San Diego CA 92134-5000
Phone: (619) 532-7801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1003101775
LBN Legal business name Wallace, Christopher A
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Jun 10th, 2011 - about 13 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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