Wallis, Sara Stanielle

Wallis, Sara Stanielle is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wallis, Sara Stanielle can be contacted via phone (217) 876-8121.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4192
Phone: (217) 876-8121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209029068 Illinois

Profile Details

NPI number 1912760141
LBN Legal business name Wallis, Sara Stanielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - about 2 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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