Wallace, Mariah
Wallace, Mariah is an individual health care provider with primary practice located at 508 S Church St , Mt Pleasant PA 15666-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wallace, Mariah can be contacted via phone (724) 547-7092.Contact Information
Primary practice address
508 S Church St
Mt Pleasant PA 15666-1702
Phone: (724) 547-7092
Fax: (724) 547-7096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA067651 | Pennsylvania |
Profile Details
| NPI number | 1124806682 |
|---|---|
| LBN Legal business name | Wallace, Mariah |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2023 |
| Last updated | May 15th, 2026 - about 5 months 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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