Wallace, Crystal
Wallace, Crystal is an individual health care provider with primary practice located at 1801 Superior Ave E Ste 130 , Cleveland OH 44114-2135. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Wallace, Crystal can be contacted via phone (216) 509-3480.Contact Information
Primary practice address
1801 Superior Ave E Ste 130
Cleveland OH 44114-2135
Phone: (216) 509-3480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1841792553 |
|---|---|
| LBN Legal business name | Wallace, Crystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2018 |
| Last updated | Mar 8th, 2018 - about 7 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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