Wallace, Michael Patrick
Wallace, Michael Patrick is an sole proprietor health care provider with primary practice located at 9225 Manchester Rd Suite 101, Saint Louis MO 63144-2640. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wallace, Michael Patrick can be contacted via phone (314) 968-0003.Contact Information
Primary practice address
9225 Manchester Rd Suite 101
Saint Louis MO 63144-2640
Phone: (314) 968-0003
Fax: (314) 968-0383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13992 | Missouri |
Profile Details
| NPI number | 1679585038 |
|---|---|
| LBN Legal business name | Wallace, Michael Patrick |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 16 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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