Wallace, Paul David

Wallace, Paul David is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Wallace, Paul David can be contacted via phone (209) 468-3760.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-3760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT 26296 California

Profile Details

NPI number 1114044799
LBN Legal business name Wallace, Paul David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
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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