Wallace, Deborah

Wallace, Deborah is an sole proprietor health care provider with primary practice located at 1115 13Th St Se , Canton OH 44707-3425. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Wallace, Deborah can be contacted via phone (330) 809-7073.

Contact Information

Primary practice address
1115 13Th St Se Canton OH 44707-3425
Phone: (330) 809-7073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1548665037
LBN Legal business name Wallace, Deborah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2014
Last updated Oct 27th, 2014 - about 10 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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