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

Primary practice address
1455 Nw 53Rd St Apt 222 Miami FL 33142
Phone: (904) 418-3893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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