Schwam, Wallace Jack

Schwam, Wallace Jack is an sole proprietor health care provider with primary practice located at 210 Indio Dr , Pismo Beach CA 93449-1514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Schwam, Wallace Jack can be contacted via phone (805) 231-8699.

Contact Information

Primary practice address
210 Indio Dr Pismo Beach CA 93449-1514
Phone: (805) 231-8699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X GFE12267 California

Profile Details

NPI number 1902144694
LBN Legal business name Schwam, Wallace Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2013
Last updated Jan 30th, 2013 - 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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