Wallace, Jessica
Wallace, Jessica is an sole proprietor health care provider with primary practice located at 1 University Plz , Youngstown OH 44555-0001. 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, Jessica can be contacted via phone (330) 941-2577.Contact Information
Primary practice address
1 University Plz
Youngstown OH 44555-0001
Phone: (330) 941-2577
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT004914 | Ohio |
Profile Details
| NPI number | 1235658626 |
|---|---|
| LBN Legal business name | Wallace, Jessica |
| Credentials | PHD, AT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2017 |
| Last updated | Jul 21st, 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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