Esper, Wallace J
Esper, Wallace J is an sole proprietor health care provider with primary practice located at 3435 W Lake Rd , Erie PA 16505-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Esper, Wallace J can be contacted via phone (814) 438-3854.Contact Information
Primary practice address
3435 W Lake Rd
Erie PA 16505-3661
Phone: (814) 438-3854
Fax: (814) 438-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS008755L | Pennsylvania |
Profile Details
| NPI number | 1992709489 |
|---|---|
| LBN Legal business name | Esper, Wallace J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 1st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992709489 | NPPES |
| Pennsylvania | MEDICAID | 0015389120005 |
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