Wallace, Jesse

Wallace, Jesse is an individual health care provider with primary practice located at 21000 Plummer St , Chatsworth CA 91311-4903. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Wallace, Jesse can be contacted via phone (818) 882-6400.

Contact Information

Primary practice address
21000 Plummer St Chatsworth CA 91311-4903
Phone: (818) 882-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1174005995
LBN Legal business name Wallace, Jesse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 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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