Wallace, Leontine

Wallace, Leontine is an individual health care provider with primary practice located at 2300 Haggerty Rd Ste 2110 , West Bloomfield MI 48323-2191. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Nursing Service Providers / Lactation Consultant. Nursing Service Providers / Lactation Consultant is her primary health care specialty. Wallace, Leontine can be contacted via phone (248) 926-1420.

Contact Information

Primary practice address
2300 Haggerty Rd Ste 2110 West Bloomfield MI 48323-2191
Phone: (248) 926-1420
Fax: (248) 926-5338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 4704318023 Michigan
Nursing Service Providers / Lactation Consultant 163WL0100X 4704318023 Michigan

Profile Details

NPI number 1053800649
LBN Legal business name Wallace, Leontine
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated May 9th, 2018 - about 6 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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