Wallace, Betty

Wallace, Betty is an individual health care provider with primary practice located at 3688 Wales Dr , Dayton OH 45405-1845. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wallace, Betty can be contacted via phone (502) 912-2674.

Contact Information

Primary practice address
3688 Wales Dr Dayton OH 45405-1845
Phone: (502) 912-2674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 923242 Ohio

Profile Details

NPI number 1760868061
LBN Legal business name Wallace, Betty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Apr 8th, 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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