Wallace, Michael Anthony
Wallace, Michael Anthony is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wallace, Michael Anthony can be contacted via phone (757) 953-6505.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (757) 953-6505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1427216837 |
|---|---|
| LBN Legal business name | Wallace, Michael Anthony |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Jun 23rd, 2011 - about 13 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.
Popular Providers
-
Miller, Rory Dean
5501 High St W , Portsmouth VA 23703-3739 -
Smith, Hosea
Naval Coastal Warfare Squadron Four Nnsy Bldg 11 Rm 103, Portsmouth VA 23709 -
Duchesneau, Eric James
620 John Paul Jones Cir , Portsmouth VA 23708-2111 -
Mckinney, Teresa R
620 John Paul Jones Cir , Portsmouth VA 23708-2111 -
Bryant, Mark E
620 John Paul Jones Cir , Portsmouth VA 23708-2111 -
Glinton, Luis Alexander
Norfolk Naval Shipyard Bldg 15, Portsmouth VA 23709 -
Rowe, Ralph Allen
Mobile Security Squadron Six Nnsy Bld 15, Portsmouth VA 23709-5000 -
Hodges, Bernard L.
620 John Paul Jones Cir Naval Medical Center Portsmouth / Sarp, Portsmouth VA 23708-2111