Wallace, Shannon Leigh

Wallace, Shannon Leigh is an individual health care provider with primary practice located at Cleveland Clinic 9500 Euclid Avenue , Cleveland OH 44195-1705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Wallace, Shannon Leigh can be contacted via phone (216) 636-8926.

Contact Information

Primary practice address
Cleveland Clinic 9500 Euclid Avenue Cleveland OH 44195-1705
Phone: (216) 636-8926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X A149644 California

Profile Details

NPI number 1205102092
LBN Legal business name Wallace, Shannon Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Mar 10th, 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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