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Contact Information

RYAN M WALLACE, HEALTH SERVICES TECH
5201 LEE RD
BUZZARDS BAY, MA02542-1313
 Phone: 508-968-6572
 Fax: 508-968-6581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for RYAN M WALLACE · (Male)

NPI # 1003891920
Status Active
Credentials HEALTH SERVICES TECH
Entity Individual
Enumeration date 12/14/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # B1552861
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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