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Contact Information

JAMIE R WALLACE, RN, BSN
201 - HOSPITAL DRIVE
DOVER, OH44622
 Phone: 330-343-6631
 Fax: 330-343-8188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JAMIE R WALLACE · (Female)

NPI Number 1689110918
Status Active
Credentials RN, BSN
Entity Individual
Enumeration date 01/10/2017
Last updated 01/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OH License # RN.287814
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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