Wallace, Darrell Y
Wallace, Darrell Y is an individual health care provider with primary practice located at The Concord Clinic 56 Winthrop Street, Concord MA 01742. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Wallace, Darrell Y can be contacted via phone (617) 719-4592.Contact Information
Primary practice address
The Concord Clinic 56 Winthrop Street
Concord MA 01742
Phone: (617) 719-4592
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 203604 | Massachusetts |
Profile Details
| NPI number | 1447496922 |
|---|---|
| LBN Legal business name | Wallace, Darrell Y |
| Credentials | LIC. AC. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2009 |
| Last updated | Jan 5th, 2009 - about 17 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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