Wallace, Theresa
Wallace, Theresa is an sole proprietor health care provider with primary practice located at 1200 Ac Evans St Apt 2 , Riviera Beach FL 33404-2063. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Wallace, Theresa can be contacted via phone (561) 634-6091.Contact Information
Primary practice address
1200 Ac Evans St Apt 2
Riviera Beach FL 33404-2063
Phone: (561) 634-6091
Fax: (561) 828-2343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | Florida |
Profile Details
| NPI number | 1013498039 |
|---|---|
| LBN Legal business name | Wallace, Theresa |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2018 |
| Last updated | Aug 27th, 2018 - about 8 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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