Wallace, Sidney L.

Wallace, Sidney L. is an individual health care provider with primary practice located at 260 Fort Sanders West Blvd , Knoxville TN 37922-3355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallace, Sidney L. can be contacted via phone (865) 558-4400.

Contact Information

Primary practice address
260 Fort Sanders West Blvd Knoxville TN 37922-3355
Phone: (865) 558-4400
Fax: (865) 769-4536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD747 Tennessee

Profile Details

NPI number 1225005069
LBN Legal business name Wallace, Sidney L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 12th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225005069 NPPES
Tennessee Other 200030085 RAILROAD MEDICARE
Tennessee MEDICAID 3122938 RAILROAD MEDICARE
Tennessee Other 4465401 RAILROAD MEDICARE
Tennessee Other TN0124 RAILROAD MEDICARE
Tennessee Other 100011199 RAILROAD MEDICARE
Tennessee Other 1201443 RAILROAD MEDICARE
Tennessee Other TN0153 RAILROAD MEDICARE
Tennessee Other 3071355 RAILROAD MEDICARE

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