Wallace, William H.

Wallace, William H. is an individual health care provider with primary practice located at 1421 N State St # St.1 Ste. 504, Jackson MS 39202-1658. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Wallace, William H. can be contacted via phone (601) 969-9050.

Contact Information

Primary practice address
1421 N State St # St.1 Ste. 504 Jackson MS 39202-1658
Phone: (601) 969-9050
Fax: (601) 354-2443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 6475 Mississippi

Profile Details

NPI number 1437184017
LBN Legal business name Wallace, William H.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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