Wallace, Colleen Carver

Wallace, Colleen Carver is an sole proprietor health care provider with primary practice located at 1150 Scioto St , Urbana OH 43078-2289. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wallace, Colleen Carver can be contacted via phone (937) 652-4555.

Contact Information

Primary practice address
1150 Scioto St Urbana OH 43078-2289
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1720289580
LBN Legal business name Wallace, Colleen Carver
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Jul 8th, 2007 - about 18 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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