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
Phone: (626) 432-1640
Fax: (626) 793-6381
Website:
Health care specialties
| Specialty | Code | License # | 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 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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