Wallace, Issaiah

Wallace, Issaiah is an individual health care provider with primary practice located at 936 Sharpe Hospital Rd , Weston WV 26452-8550. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Wallace, Issaiah can be contacted via phone (304) 269-1210.

Contact Information

Primary practice address
936 Sharpe Hospital Rd Weston WV 26452-8550
Phone: (304) 269-1210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 102650 West Virginia

Profile Details

NPI number 1508422338
LBN Legal business name Wallace, Issaiah
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2019
Last updated May 16th, 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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