National Provider Identifier Database

PAUL S WALLACE
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

PAUL S WALLACE
513 SE QUAPAW
BARTLESVILLE, OK74003
Phone: 918-337-8080
Fax: 918-337-8099
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for PAUL S WALLACE

NPI Number 1548444318
Credentials
Entity Individual
Enumeration date 12/28/2007
Last updated 12/28/2007 - About 18 years ago
Sole proprietor1 No
Identifiers
  • OK License #: L0050977
Hospital affiliation n/a

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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