Wallace, Robert William

Wallace, Robert William is an individual health care provider with primary practice located at 40 Ridge Dr , West Hurley NY 12491-5627. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Wallace, Robert William can be contacted via phone (914) 204-9677.

Contact Information

Primary practice address
40 Ridge Dr West Hurley NY 12491-5627
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 578054 New York

Profile Details

NPI number 1972947257
LBN Legal business name Wallace, Robert William
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Apr 17th, 2013 - about 11 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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