Wallace, Jaclyn Ann

Wallace, Jaclyn Ann is an sole proprietor health care provider with primary practice located at 7800 W Outer Dr Ste 203 , Detroit MI 48235-3459. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Wallace, Jaclyn Ann can be contacted via phone (313) 259-1574.

Contact Information

Primary practice address
7800 W Outer Dr Ste 203 Detroit MI 48235-3459
Phone: (313) 259-1574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1467953091
LBN Legal business name Wallace, Jaclyn Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 8 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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