Wallace, Nathaniel

Wallace, Nathaniel is an individual health care provider with primary practice located at 412 1St St Se , Washington DC 20003-1804. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Wallace, Nathaniel can be contacted via phone (202) 470-4185.

Contact Information

Primary practice address
412 1St St Se Washington DC 20003-1804
Phone: (202) 470-4185
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1194152413
LBN Legal business name Wallace, Nathaniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 13 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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