West, Wallace Christopher
West, Wallace Christopher is an sole proprietor health care provider with primary practice located at 4700 Hardy St. Suite M, Hattiesburg MS 39402-1300. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. West, Wallace Christopher can be contacted via phone (601) 261-5599.Contact Information
Primary practice address
4700 Hardy St. Suite M
Hattiesburg MS 39402-1300
Phone: (601) 261-5599
Fax: (601) 261-3295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 854 | Mississippi |
Profile Details
| NPI number | 1215021829 |
|---|---|
| LBN Legal business name | West, Wallace Christopher |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215021829 | NPPES |
| Mississippi | Other | 106317 | HEALTH PARTNERS |
| Mississippi | Other | 4666264 | HEALTH PARTNERS |
| Mississippi | MEDICAID | 00114920 | HEALTH PARTNERS |
| Mississippi | Other | 44-32003 | HEALTH PARTNERS |
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