Wallace, Jessica Lynn

Wallace, Jessica Lynn is an sole proprietor health care provider with primary practice located at 26652 Muse Road , Muse OK 74949. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Wallace, Jessica Lynn can be contacted via phone (918) 567-1719.

Contact Information

Primary practice address
26652 Muse Road Muse OK 74949
Phone: (918) 567-1719
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1659637478
LBN Legal business name Wallace, Jessica Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 14 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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