Wallace, Shaune
Wallace, Shaune is an sole proprietor health care provider with primary practice located at 1657 Mountain City Hwy Ste 101 , Elko NV 89801-2809. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wallace, Shaune can be contacted via phone (775) 738-6727.Contact Information
Primary practice address
1657 Mountain City Hwy Ste 101
Elko NV 89801-2809
Phone: (775) 738-6727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 931 | Nevada |
Profile Details
| NPI number | 1467550335 |
|---|---|
| LBN Legal business name | Wallace, Shaune |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 6th, 2023 - about last year |
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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