Wallace, Jarred E

Wallace, Jarred E is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Wallace, Jarred E can be contacted via phone (313) 576-4436.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Phone: (313) 576-4436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 4704321978 Michigan

Profile Details

NPI number 1710609045
LBN Legal business name Wallace, Jarred E
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2022
Last updated Oct 18th, 2022 - about 4 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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