Wallace, Katy Leigh
Wallace, Katy Leigh is an individual health care provider with primary practice located at 113 W Shawnee St , Tahlequah OK 74464-3623. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wallace, Katy Leigh can be contacted via phone (918) 825-1405.Contact Information
Primary practice address
113 W Shawnee St
Tahlequah OK 74464-3623
Phone: (918) 825-1405
Fax: (918) 825-1406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1518410695 |
|---|---|
| LBN Legal business name | Wallace, Katy Leigh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2016 |
| Last updated | Aug 1st, 2016 - about 10 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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