Wallace, Megan M
Wallace, Megan M is an individual health care provider with primary practice located at 2502 E Empire St , Bloomington IL 61704-3738. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wallace, Megan M can be contacted via phone (309) 663-4368.Contact Information
Primary practice address
2502 E Empire St
Bloomington IL 61704-3738
Phone: (309) 663-4368
Fax: (095) 245-3573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147001429 | Illinois |
Profile Details
| NPI number | 1306192810 |
|---|---|
| LBN Legal business name | Wallace, Megan M |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2012 |
| Last updated | Jan 5th, 2022 - about 2 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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