Wallack, Alice

Wallack, Alice is an individual health care provider with primary practice located at 931 Oak Park Blvd Suite 101, Pismo Beach CA 93449-3402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wallack, Alice can be contacted via phone (805) 474-2600.

Contact Information

Primary practice address
931 Oak Park Blvd Suite 101 Pismo Beach CA 93449-3402
Phone: (805) 474-2600
Fax: (805) 474-2607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G45399 California

Profile Details

NPI number 1316957103
LBN Legal business name Wallack, Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated May 9th, 2012 - about 13 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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