Wallace, Patricia J

Wallace, Patricia J is an individual health care provider with primary practice located at 1 Chesterfield Mall , Chesterfield MO 63017-4807. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Wallace, Patricia J can be contacted via phone (636) 536-4660.

Contact Information

Primary practice address
1 Chesterfield Mall Chesterfield MO 63017-4807
Phone: (636) 536-4660
Fax: (636) 532-4667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2013004502 Missouri

Profile Details

NPI number 1922434091
LBN Legal business name Wallace, Patricia J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2013
Last updated Sep 20th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922434091 NPPES
Missouri Other 2013004502 HEARING AID DISPENSER LICENSE

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