Wallace, Steven E
Wallace, Steven E is an sole proprietor health care provider with primary practice located at 30800 Chagrin Blvd , Cleveland OH 44124-5925. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Wallace, Steven E can be contacted via phone (216) 591-0324.Contact Information
Primary practice address
30800 Chagrin Blvd
Cleveland OH 44124-5925
Phone: (216) 591-0324
Fax: (216) 591-1243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | CDCA.162346 | Ohio |
Profile Details
| NPI number | 1073029864 |
|---|---|
| LBN Legal business name | Wallace, Steven E |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2017 |
| Last updated | Dec 16th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073029864 | NPPES |
| Ohio | MEDICAID | 2374229 |
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