Wallace, David Joseph

Wallace, David Joseph is an individual health care provider with primary practice located at 979 E 3Rd St Ste C-290 , Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Wallace, David Joseph can be contacted via phone (423) 265-2233.

Contact Information

Primary practice address
979 E 3Rd St Ste C-290 Chattanooga TN 37403-2136
Phone: (423) 265-2233
Fax: (423) 756-8265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 125062133 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 61102 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10054957 Texas

Profile Details

NPI number 1487918322
LBN Legal business name Wallace, David Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Feb 12th, 2021 - about 3 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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