Wallace, Timothy J

Wallace, Timothy J is an individual health care provider with primary practice located at 401 College St , Richmond VA 23298-5017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Wallace, Timothy J can be contacted via phone (804) 828-7232.

Contact Information

Primary practice address
401 College St Richmond VA 23298-5017
Phone: (804) 828-7232
Fax: (804) 828-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0101242596 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X 0101242596 Virginia

Profile Details

NPI number 1033328703
LBN Legal business name Wallace, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Mar 26th, 2019 - about 6 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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