Wallace, Portia Dionne

Wallace, Portia Dionne is an sole proprietor health care provider with primary practice located at 7800 Travers Run Dr , Charlotte NC 28215-6504. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Wallace, Portia Dionne can be contacted via phone (704) 506-2315.

Contact Information

Primary practice address
7800 Travers Run Dr Charlotte NC 28215-6504
Phone: (704) 506-2315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1831427533
LBN Legal business name Wallace, Portia Dionne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2009
Last updated Nov 18th, 2009 - about 17 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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