Wallas, Marisa N

Wallas, Marisa N is an individual health care provider with primary practice located at 20630 Route 19 , Cranberry Township PA 16066-6021. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wallas, Marisa N can be contacted via phone (724) 779-2273.

Contact Information

Primary practice address
20630 Route 19 Cranberry Township PA 16066-6021
Phone: (724) 779-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS022818 Pennsylvania

Profile Details

NPI number 1033748199
LBN Legal business name Wallas, Marisa N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2020
Last updated Sep 7th, 2023 - about last year

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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