Wallace, Laurie
Wallace, Laurie is an individual health care provider with primary practice located at 28050 Grand River Ave Er Department, Farmington Hills MI 48336-5919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Wallace, Laurie can be contacted via phone (248) 471-8000.Contact Information
Primary practice address
28050 Grand River Ave Er Department
Farmington Hills MI 48336-5919
Phone: (248) 471-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | LW010385 | Michigan |
Profile Details
| NPI number | 1699716613 |
|---|---|
| LBN Legal business name | Wallace, Laurie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Nov 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699716613 | NPPES |
| Michigan | MEDICAID | 114570889 |
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