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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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