Wallisch, James

Wallisch, James is an sole proprietor health care provider with primary practice located at 3390 Coachman , Eagan MN 55121. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wallisch, James can be contacted via phone (651) 452-4220.

Contact Information

Primary practice address
3390 Coachman Eagan MN 55121
Phone: (651) 452-4220
Fax: (651) 452-3829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1578783064
LBN Legal business name Wallisch, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
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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