Wallace, Dennis Lee
Wallace, Dennis Lee is an individual health care provider with primary practice located at 4100 Beecher Rd Suite A, Flint MI 48532-3661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wallace, Dennis Lee can be contacted via phone (810) 342-3800.Contact Information
Primary practice address
4100 Beecher Rd Suite A
Flint MI 48532-3661
Phone: (810) 342-3800
Fax: (810) 342-3784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601002261 | Michigan |
Profile Details
| NPI number | 1396790986 |
|---|---|
| LBN Legal business name | Wallace, Dennis Lee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Aug 11th, 2010 - about 16 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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