Wallace-Shaw, Kasia Layne
Wallace-Shaw, Kasia Layne is an individual health care provider with primary practice located at 5270 Babcock St Ne Ste 1 , Palm Bay FL 32905-4616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wallace-Shaw, Kasia Layne can be contacted via phone (321) 241-6800.Contact Information
Primary practice address
5270 Babcock St Ne Ste 1
Palm Bay FL 32905-4616
Phone: (321) 241-6800
Fax: (321) 241-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME148403 | Florida |
Profile Details
| NPI number | 1679068092 |
|---|---|
| LBN Legal business name | Wallace-Shaw, Kasia Layne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2018 |
| Last updated | May 17th, 2024 - about 4 months 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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