Wallace, John Hugh G
Wallace, John Hugh G is an individual health care provider with primary practice located at Naval Ambulatory Care Center Route 12, Bldg 449, Attn: Professional Affairs, Groton CT 06349-5600. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wallace, John Hugh G can be contacted via phone (860) 694-2377.Contact Information
Primary practice address
Naval Ambulatory Care Center Route 12, Bldg 449, Attn: Professional Affairs
Groton CT 06349-5600
Phone: (860) 694-2377
Fax: (860) 694-2590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810002367 | Virginia |
Profile Details
| NPI number | 1972585156 |
|---|---|
| LBN Legal business name | Wallace, John Hugh G |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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