Wallace, Susan Jean

Wallace, Susan Jean is an sole proprietor health care provider with primary practice located at E Hwy 18 , Pine Ridge SD 57770-1201. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wallace, Susan Jean can be contacted via phone (605) 867-5131.

Contact Information

Primary practice address
E Hwy 18 Pine Ridge SD 57770-1201
Phone: (605) 867-5131
Fax: (605) 867-3263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26784 Nebraska

Profile Details

NPI number 1194985887
LBN Legal business name Wallace, Susan Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2008
Last updated Jun 16th, 2008 - about 18 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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