Wallace, Mia
Wallace, Mia is an sole proprietor health care provider with primary practice located at 9165 Otis Ave Ste 232 , Indianapolis IN 46216-2317. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Wallace, Mia can be contacted via phone (317) 560-8522.Contact Information
Primary practice address
9165 Otis Ave Ste 232
Indianapolis IN 46216-2317
Phone: (317) 560-8522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1972125078 |
|---|---|
| LBN Legal business name | Wallace, Mia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2020 |
| Last updated | May 12th, 2020 - about 5 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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