Wallace, Kristin Nicole

Wallace, Kristin Nicole is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wallace, Kristin Nicole can be contacted via phone (920) 738-2000.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (920) 738-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1366745804
LBN Legal business name Wallace, Kristin Nicole
Credentials M.S., OTR
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2010
Last updated Dec 6th, 2010 - about 16 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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