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:
Health care specialties
Specialty | Code | License # | 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 8 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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