Wallace, Thomas Witherspoon

Wallace, Thomas Witherspoon is an sole proprietor health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Wallace, Thomas Witherspoon can be contacted via phone (501) 255-6000.

Contact Information

Primary practice address
10100 Kanis Rd Little Rock AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X E-6988 Arkansas

Profile Details

NPI number 1295807733
LBN Legal business name Wallace, Thomas Witherspoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jun 21st, 2016 - about 8 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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