Johnson, Wallace R

Johnson, Wallace R is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hypertension Specialist, which is considered as his primary health care specialty. Johnson, Wallace R can be contacted via phone (410) 328-7877.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1590
Phone: (410) 328-7877
Fax: (410) 328-1048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X D38086 Maryland

Profile Details

NPI number 1043253867
LBN Legal business name Johnson, Wallace R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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