Wallace, Ira B
Wallace, Ira B is an individual health care provider with primary practice located at 2 Bala Plaza 333 E City Avenue, Bala Cynwyd PA 19004-1501. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wallace, Ira B can be contacted via phone (610) 668-2777.Contact Information
Primary practice address
2 Bala Plaza 333 E City Avenue
Bala Cynwyd PA 19004-1501
Phone: (610) 668-2777
Fax: (610) 668-1509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD032125E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD032125E | Pennsylvania |
Profile Details
| NPI number | 1316993124 |
|---|---|
| LBN Legal business name | Wallace, Ira B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Nov 23rd, 2010 - about 14 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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