Wallace, Jessica
Wallace, Jessica is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wallace, Jessica can be contacted via phone (202) 476-8586.Contact Information
Primary practice address
111 Michigan Ave Nw
Washington DC 20010-2916
Phone: (202) 476-8586
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH026896 | Georgia |
| Pharmacy Service Providers / Pharmacist | 183500000X | PH100002131 | District of Columbia |
Profile Details
| NPI number | 1245577907 |
|---|---|
| LBN Legal business name | Wallace, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2013 |
| Last updated | Jun 15th, 2021 - about 5 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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