Wallace, Victoria

Wallace, Victoria is an individual health care provider with primary practice located at 3737 Lander Rd , Pepper Pike OH 44124-5712. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wallace, Victoria can be contacted via phone (216) 831-2255.

Contact Information

Primary practice address
3737 Lander Rd Pepper Pike OH 44124-5712
Phone: (216) 831-2255
Fax: (216) 378-3906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.097550-MEDS Ohio

Profile Details

NPI number 1629386552
LBN Legal business name Wallace, Victoria
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2010
Last updated Sep 14th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629386552 NPPES
Ohio MEDICAID 0268768

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