Wallace, Shyann

Wallace, Shyann is an sole proprietor health care provider with primary practice located at 1150 Harvest Dr , Lebanon PA 17046-1574. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wallace, Shyann can be contacted via phone (717) 376-9110.

Contact Information

Primary practice address
1150 Harvest Dr Lebanon PA 17046-1574
Fax:
Website:

Profile Details

NPI number 1710524913
LBN Legal business name Wallace, Shyann
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2019
Last updated Jan 11th, 2021 - about 3 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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