Wallace, Matthew Edwin
Wallace, Matthew Edwin is an individual health care provider with primary practice located at Creighton Uniuversity 2500 California Plaza, Omaha NE 68178-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wallace, Matthew Edwin can be contacted via phone (402) 280-5563.Contact Information
Primary practice address
Creighton Uniuversity 2500 California Plaza
Omaha NE 68178-0001
Phone: (402) 280-5563
Fax: (402) 280-3110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 378 | Nebraska |
Profile Details
| NPI number | 1760426258 |
|---|---|
| LBN Legal business name | Wallace, Matthew Edwin |
| Credentials | ATC, PES |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| 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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