Wallace, David R
Wallace, David R is an sole proprietor health care provider with primary practice located at 2170 S Lamar Blvd , Oxford MS 38655-5224. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wallace, David R can be contacted via phone (662) 234-8559.Contact Information
Primary practice address
2170 S Lamar Blvd
Oxford MS 38655-5224
Phone: (662) 234-8559
Fax: (662) 234-7923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2738 | Mississippi |
Profile Details
| NPI number | 1760626576 |
|---|---|
| LBN Legal business name | Wallace, David R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Apr 23rd, 2009 - about 15 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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