Wallace, Sierra

Wallace, Sierra is an individual health care provider with primary practice located at 2235 Hinde Rd , Toledo OH 43607-3516. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Wallace, Sierra can be contacted via phone (419) 902-6449.

Contact Information

Primary practice address
2235 Hinde Rd Toledo OH 43607-3516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1386015790
LBN Legal business name Wallace, Sierra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Oct 12th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386015790 NPPES
Ohio MEDICAID 10788100714
Ohio MEDICAID 484220739302

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