Wallace, Darrell Y

Wallace, Darrell Y is an individual health care provider with primary practice located at The Concord Clinic 56 Winthrop Street, Concord MA 01742. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Wallace, Darrell Y can be contacted via phone (617) 719-4592.

Contact Information

Primary practice address
The Concord Clinic 56 Winthrop Street Concord MA 01742
Phone: (617) 719-4592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 203604 Massachusetts

Profile Details

NPI number 1447496922
LBN Legal business name Wallace, Darrell Y
Credentials LIC. AC.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2009
Last updated Jan 5th, 2009 - about 16 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.

Request for update

Popular Providers