Wallace, Justin K
Wallace, Justin K is an individual health care provider with primary practice located at 120 S 6Th St , Chickasha OK 73018-3420. He recently has only one registered license in Other Service Providers / Veterinarian, which is considered as his primary health care specialty. Wallace, Justin K can be contacted via phone (405) 224-8023.Contact Information
Primary practice address
120 S 6Th St
Chickasha OK 73018-3420
Phone: (405) 224-8023
Fax: (405) 224-8024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Veterinarian | 174M00000X | 5380 | Oklahoma |
Profile Details
| NPI number | 1649609728 |
|---|---|
| LBN Legal business name | Wallace, Justin K |
| Credentials | Doctor of Veterinary Medicine (DVM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2013 |
| Last updated | Nov 8th, 2013 - about 11 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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