Wallace, Eva Annmae
Wallace, Eva Annmae is an individual health care provider with primary practice located at 1539 Ne 22Nd Ave Suite A, Ocala FL 34470-4761. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Wallace, Eva Annmae can be contacted via phone (352) 369-7860.Contact Information
Primary practice address
1539 Ne 22Nd Ave Suite A
Ocala FL 34470-4761
Phone: (352) 369-7860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | RN9208381 | Florida |
Profile Details
| NPI number | 1205222619 |
|---|---|
| LBN Legal business name | Wallace, Eva Annmae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Apr 13th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205222619 | NPPES |
| Florida | Other | RN9208381 | RN LICENSE |
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