Wallace, Trevor

Wallace, Trevor is an sole proprietor health care provider with primary practice located at 315 Record St Ste 103 , Reno NV 89512-3327. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Wallace, Trevor can be contacted via phone (775) 405-4111.

Contact Information

Primary practice address
315 Record St Ste 103 Reno NV 89512-3327
Fax: (775) 622-8611
Website:

Health care specialties

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

Profile Details

NPI number 1417386350
LBN Legal business name Wallace, Trevor
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2013
Last updated Apr 16th, 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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