Wallace, Craig Philip
Wallace, Craig Philip is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wallace, Craig Philip can be contacted via phone (360) 923-7000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003829 | Washington |
Profile Details
NPI number | 1851351522 |
---|---|
LBN Legal business name | Wallace, Craig Philip |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2006 |
Last updated | May 10th, 2021 - about 4 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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