Wallis, John R.

Wallis, John R. is an individual health care provider with primary practice located at 1417 Se 4Th St , Ft Lauderdale FL 33301-2319. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Wallis, John R. can be contacted via phone (954) 463-2273.

Contact Information

Primary practice address
1417 Se 4Th St Ft Lauderdale FL 33301-2319
Phone: (954) 463-2273
Fax: (954) 779-1643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X MT1251 Florida

Profile Details

NPI number 1023161197
LBN Legal business name Wallis, John R.
Credentials D.MIN.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - 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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