Wallace, Andrew

Wallace, Andrew is an sole proprietor health care provider with primary practice located at 195 N Grant Ave Ste 250 , Columbus OH 43215-2855. He recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Wallace, Andrew can be contacted via phone (440) 260-8300.

Contact Information

Primary practice address
195 N Grant Ave Ste 250 Columbus OH 43215-2855
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X Ohio

Profile Details

NPI number 1134762842
LBN Legal business name Wallace, Andrew
Credentials QMHS CMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2019
Last updated Oct 25th, 2019 - about 7 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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