Wallace, Kendrick

Wallace, Kendrick is an sole proprietor health care provider with primary practice located at 1044 Gilbert St , Flint MI 48532-3527. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wallace, Kendrick can be contacted via phone (810) 422-9406.

Contact Information

Primary practice address
1044 Gilbert St Flint MI 48532-3527
Phone: (810) 422-9406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1851764534
LBN Legal business name Wallace, Kendrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2015
Last updated Nov 4th, 2015 - about 11 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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