Wallace, Deborah I

Wallace, Deborah I is an individual health care provider with primary practice located at 3840 Ruckriegel Pkwy Suite 105, Louisville KY 40299-6835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wallace, Deborah I can be contacted via phone (502) 261-7227.

Contact Information

Primary practice address
3840 Ruckriegel Pkwy Suite 105 Louisville KY 40299-6835
Phone: (502) 261-7227
Fax: (844) 965-9615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39992 Kentucky

Profile Details

NPI number 1184654709
LBN Legal business name Wallace, Deborah I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 28th, 2021 - about 5 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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