Wallace, Megan M

Wallace, Megan M is an individual health care provider with primary practice located at 2502 E Empire St , Bloomington IL 61704-3738. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wallace, Megan M can be contacted via phone (309) 663-4368.

Contact Information

Primary practice address
2502 E Empire St Bloomington IL 61704-3738
Phone: (309) 663-4368
Fax: (095) 245-3573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147001429 Illinois

Profile Details

NPI number 1306192810
LBN Legal business name Wallace, Megan M
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2012
Last updated Jan 5th, 2022 - about 4 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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