JUSTIN K WALLACE, D.V.M., Veterinarian CHICKASHA, OK

Contact Information

JUSTIN K WALLACE, D.V.M.

120 S 6TH ST
CHICKASHA, OK 73018-3420

Phone: 405-224-8023
Fax: 405-224-8024
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Veterinarian	174M00000X

Indicates primary specialty

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NPI Profile & details for JUSTIN K WALLACE · (Male)

NPI #	`1649609728`
Status	Active
Credentials	D.V.M.
Entity	Individual
Enumeration date	11/08/2013
Last updated	11/08/2013 - About 13 years ago
Sole proprietor ¹	No
Identifiers	OK License # 5380
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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JUSTIN K WALLACE, D.V.M. – NPI #1649609728Veterinarian

Contact Information

Specialty

Veterinarian

NPI Profile & details for JUSTIN K WALLACE · (Male)

Reviews for JUSTIN K WALLACE

JUSTIN K WALLACE, D.V.M. – NPI #1649609728
Veterinarian