Wallace, Tina

Wallace, Tina is an sole proprietor health care provider with primary practice located at 2408 Carson Rd Unit 1 , Birmingham AL 35215-3102. She recently has only one registered license in Agencies / Home Infusion, which is considered as her primary health care specialty. Wallace, Tina can be contacted via phone (205) 757-0249.

Contact Information

Primary practice address
2408 Carson Rd Unit 1 Birmingham AL 35215-3102
Phone: (205) 757-0249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X

Profile Details

NPI number 1164004420
LBN Legal business name Wallace, Tina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2021
Last updated Apr 26th, 2021 - about 5 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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