Wallace, Jolene C

Wallace, Jolene C is an sole proprietor health care provider with primary practice located at 110 Apple House Ln , Missoula MT 59802-3324. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider, which is considered as her primary health care specialty. Wallace, Jolene C can be contacted via phone (406) 360-9480.

Contact Information

Primary practice address
110 Apple House Ln Missoula MT 59802-3324
Phone: (406) 360-9480
Fax: (406) 549-3581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider 225CX0006X

Profile Details

NPI number 1861853269
LBN Legal business name Wallace, Jolene C
Credentials COMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2016
Last updated Mar 11th, 2016 - about 10 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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