Wallace, John D
Wallace, John D is an sole proprietor health care provider with primary practice located at 1455 Nw 53Rd St Apt 222 , Miami FL 33142. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respite Care Facility / Respite Care, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Homemaker is his primary health care specialty. Wallace, John D can be contacted via phone (904) 418-3893.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Respite Care Facility / Respite Care | 385H00000X | 235276 | Florida |
Nursing Service Related Providers / Homemaker | 376J00000X | 235276 | Florida |
Nursing Service Related Providers / Adult Companion | 372600000X | 235276 | Florida |
Profile Details
NPI number | 1679900161 |
---|---|
LBN Legal business name | Wallace, John D |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 30th, 2013 |
Last updated | Jun 29th, 2018 - about 6 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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