Wallace, Anne M
Wallace, Anne M is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Wallace, Anne M can be contacted via phone (858) 822-6193.Contact Information
Primary practice address
200 W Arbor Dr
San Diego CA 92103-9000
Phone: (858) 822-6193
Fax: (858) 822-6194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | G073000 | California |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | G073000 | California |
Profile Details
NPI number | 1699732941 |
---|---|
LBN Legal business name | Wallace, Anne M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 28th, 2006 |
Last updated | Jul 29th, 2021 - about 4 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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