Wall, Tomi Lee
Wall, Tomi Lee is an sole proprietor health care provider with primary practice located at 3300 Webster St Suite 1106, Oakland CA 94609-3117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Wall, Tomi Lee can be contacted via phone (510) 763-2662.Contact Information
Primary practice address
3300 Webster St Suite 1106
Oakland CA 94609-3117
Phone: (510) 763-2662
Fax: (510) 601-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A97586 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A97586 | California |
Profile Details
| NPI number | 1417947060 |
|---|---|
| LBN Legal business name | Wall, Tomi Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 11th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417947060 | NPPES |
| Massachusetts | Other | 462225 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J29028 | TUFTS HEALTH PLAN |
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