Wallace, Pamela Michelle
Wallace, Pamela Michelle is an sole proprietor health care provider with primary practice located at 917 Blue Hill Ave #5, Dorchester Center MA 02124-2948. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace, Pamela Michelle can be contacted via phone (617) 980-4662.Contact Information
Primary practice address
917 Blue Hill Ave #5
Dorchester Center MA 02124-2948
Phone: (617) 980-4662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1407154768 |
|---|---|
| LBN Legal business name | Wallace, Pamela Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2011 |
| Last updated | Mar 9th, 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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