Wallace, Warren S
Wallace, Warren S is an sole proprietor health care provider with primary practice located at 33 Berkshire Dr , Sewell NJ 08080-3104. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wallace, Warren S can be contacted via phone (856) 302-5371.Contact Information
Primary practice address
33 Berkshire Dr
Sewell NJ 08080-3104
Phone: (856) 302-5371
Fax: (856) 228-0999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00165300 | New Jersey |
Profile Details
| NPI number | 1851543979 |
|---|---|
| LBN Legal business name | Wallace, Warren S |
| Credentials | ED.D, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Oct 21st, 2008 - about 17 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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