Wallace, Sharon D
Wallace, Sharon D is an individual health care provider with primary practice located at 5455 Almira Dr Ne , Bremerton WA 98311-8330. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wallace, Sharon D can be contacted via phone (360) 415-5870.Contact Information
Primary practice address
5455 Almira Dr Ne
Bremerton WA 98311-8330
Phone: (360) 415-5870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61462632 | Washington |
Profile Details
| NPI number | 1205478591 |
|---|---|
| LBN Legal business name | Wallace, Sharon D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2019 |
| Last updated | Dec 31st, 2023 - about 3 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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