Wallace, Matthew Malone
Wallace, Matthew Malone is an individual health care provider with primary practice located at 9816 Mayland Dr Ste 100 , Richmond VA 23233-1457. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Wallace, Matthew Malone can be contacted via phone (804) 282-8510.Contact Information
Primary practice address
9816 Mayland Dr Ste 100
Richmond VA 23233-1457
Phone: (804) 282-8510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 0101274476 | Virginia |
Profile Details
| NPI number | 1255867784 |
|---|---|
| LBN Legal business name | Wallace, Matthew Malone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2017 |
| Last updated | Jul 19th, 2022 - about 2 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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