Wallace, Clara

Wallace, Clara is an individual health care provider with primary practice located at 220 W 4Th Ave , Ellensburg WA 98926-3060. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wallace, Clara can be contacted via phone (509) 575-4084.

Contact Information

Primary practice address
220 W 4Th Ave Ellensburg WA 98926-3060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073240180
LBN Legal business name Wallace, Clara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2022
Last updated Aug 8th, 2022 - about 2 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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