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Contact Information

LESLIE J WALLACE
2301 REAR MAIN ST
WELLSBURG, WV26070
 Phone: 304-479-5683
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for LESLIE J WALLACE · (Female)

NPI Number 1053203190
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2025
Last updated 07/15/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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