Wallace, Phillip

Wallace, Phillip is an individual health care provider with primary practice located at 11837 Navajo Rd , Apple Valley CA 92308-7653. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Wallace, Phillip can be contacted via phone (760) 247-7206.

Contact Information

Primary practice address
11837 Navajo Rd Apple Valley CA 92308-7653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1316739923
LBN Legal business name Wallace, Phillip
Credentials PPS
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2025
Last updated May 20th, 2025 - about last year

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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