Wallace, Katherine J

Wallace, Katherine J is an individual health care provider with primary practice located at 675 W Washington Ave , Madison WI 53703-2637. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Wallace, Katherine J can be contacted via phone (608) 257-9700.

Contact Information

Primary practice address
675 W Washington Ave Madison WI 53703-2637
Phone: (608) 257-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Other Service Providers / Naturopath 175F00000X

Profile Details

NPI number 1124395603
LBN Legal business name Wallace, Katherine J
Credentials NATUROPATH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 13 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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