Eric Wallace

NPI 1366955585 · on the registry since 2017 · sole proprietor

Practice

Address: 247 Cic Blvd
West Union, OH 45693
Phone: (513) 941-4999
Fax: (513) 694-0168
Organisation at this address: Sunrise Treatment Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
101YM0800X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio