Wallace, Eileen

Wallace, Eileen is an sole proprietor health care provider with primary practice located at 10 Arthur Ave , Long Branch NJ 07740-6402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wallace, Eileen can be contacted via phone (732) 222-3839.

Contact Information

Primary practice address
10 Arthur Ave Long Branch NJ 07740-6402
Phone: (732) 222-3839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 25MT00040000 New Jersey

Profile Details

NPI number 1568585362
LBN Legal business name Wallace, Eileen
Credentials ATC, PTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2007
Last updated Jul 21st, 2022 - about 2 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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