Wallace, Amy

Wallace, Amy is an sole proprietor health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wallace, Amy can be contacted via phone (248) 471-8822.

Contact Information

Primary practice address
28050 Grand River Ave Farmington Hills MI 48336-5919
Phone: (248) 471-8822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1134619463 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101026825 Michigan

Profile Details

NPI number 1134619463
LBN Legal business name Wallace, Amy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2018
Last updated Jun 30th, 2022 - about 4 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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