Wallace, Megan

Wallace, Megan is an individual health care provider with primary practice located at 110 E Main St , Ottumwa IA 52501-2910. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace, Megan can be contacted via phone (641) 682-8772.

Contact Information

Primary practice address
110 E Main St Ottumwa IA 52501-2910
Phone: (641) 682-8772
Fax: (641) 682-1924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 072445 Iowa

Profile Details

NPI number 1881095933
LBN Legal business name Wallace, Megan
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881095933 NPPES
Iowa Other 1659353670 BLUE CROSS BLUE SHIELD OF IOWA
Iowa MEDICAID 1659353670 BLUE CROSS BLUE SHIELD OF IOWA

Popular Providers