Wallace, Jamie Lyn

Wallace, Jamie Lyn is an individual health care provider with primary practice located at 6823 Main St , Cass City MI 48726-9693. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace, Jamie Lyn can be contacted via phone (989) 325-2600.

Contact Information

Primary practice address
6823 Main St Cass City MI 48726-9693
Phone: (989) 325-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X Michigan

Profile Details

NPI number 1639527567
LBN Legal business name Wallace, Jamie Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2016
Last updated May 26th, 2022 - 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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