Wallace, Scott Andrew

Wallace, Scott Andrew is an sole proprietor health care provider with primary practice located at Navy Medicine Support Command Attn: Med Staff Services Bldg H 2005 Knight Lane, Jacksonville FL 32212-0140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Wallace, Scott Andrew can be contacted via phone (619) 532-7935.

Contact Information

Primary practice address
Navy Medicine Support Command Attn: Med Staff Services Bldg H 2005 Knight Lane Jacksonville FL 32212-0140
Phone: (619) 532-7935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X D76451 Maryland

Profile Details

NPI number 1275809899
LBN Legal business name Wallace, Scott Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2012
Last updated Aug 21st, 2023 - about last year

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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