Wallace, Thomas Clyde

Wallace, Thomas Clyde is an sole proprietor health care provider with primary practice located at 10 Congress St Suite 360, Pasadena CA 91105-3023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wallace, Thomas Clyde can be contacted via phone (626) 432-1640.

Contact Information

Primary practice address
10 Congress St Suite 360 Pasadena CA 91105-3023
Fax: (626) 793-6381
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A-43490 California

Profile Details

NPI number 1801942933
LBN Legal business name Wallace, Thomas Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Mar 7th, 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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