Wallace, Sara Michelle

Wallace, Sara Michelle is an individual health care provider with primary practice located at 1400 N Norma St Ste 133 , Ridgecrest CA 93555-2577. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wallace, Sara Michelle can be contacted via phone (760) 499-7418.

Contact Information

Primary practice address
1400 N Norma St Ste 133 Ridgecrest CA 93555-2577
Phone: (760) 499-7418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1447764030
LBN Legal business name Wallace, Sara Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2017
Last updated Jul 6th, 2020 - about 6 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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