Wallace, Brendan

Wallace, Brendan is an sole proprietor health care provider with primary practice located at 55 Broadway , Bangor ME 04401-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wallace, Brendan can be contacted via phone (207) 947-0469.

Contact Information

Primary practice address
55 Broadway Bangor ME 04401-5201
Phone: (207) 947-0469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD25666 Maine

Profile Details

NPI number 1164159257
LBN Legal business name Wallace, Brendan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2022
Last updated Aug 8th, 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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