Wallace, Elizabeth A
Wallace, Elizabeth A is an sole proprietor health care provider with primary practice located at 125 N Collison Ave , Cimarron NM 87714-8505. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Wallace, Elizabeth A can be contacted via phone (575) 377-6991.Contact Information
Primary practice address
125 N Collison Ave
Cimarron NM 87714-8505
Phone: (575) 377-6991
Fax: (575) 376-2442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / School | 163WS0200X | 402513 | New Mexico |
Profile Details
NPI number | 1598359911 |
---|---|
LBN Legal business name | Wallace, Elizabeth A |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 25th, 2021 |
Last updated | Feb 25th, 2021 - about 3 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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