Wallace, Beth Ann

Wallace, Beth Ann is an sole proprietor health care provider with primary practice located at 4127 Progress Blvd , Peru IL 61354-1112. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wallace, Beth Ann can be contacted via phone (815) 223-3201.

Contact Information

Primary practice address
4127 Progress Blvd Peru IL 61354-1112
Phone: (815) 223-3201
Fax: (815) 223-3202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000988 Illinois

Profile Details

NPI number 1871846204
LBN Legal business name Wallace, Beth Ann
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2012
Last updated Feb 1st, 2024 - about 2 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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