Wallace, William J
Wallace, William J is an individual health care provider with primary practice located at 5 Sheridan Sq , Kingsport TN 37660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Wallace, William J can be contacted via phone (423) 246-8155.Contact Information
Primary practice address
5 Sheridan Sq
Kingsport TN 37660
Phone: (423) 246-8155
Fax: (246) 246-8658
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 01428 | Tennessee |
Profile Details
NPI number | 1275539603 |
---|---|
LBN Legal business name | Wallace, William J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Jun 4th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275539603 | NPPES |
Tennessee | MEDICAID | 3306857 | |
Tennessee | MEDICAID | 64071962 | |
Tennessee | MEDICAID | 006500391 |
Popular Providers
-
Verret, Daniel Joseph
6545 Preston Rd Suite 200, Plano TX 75024-2710 -
Ludlow, Paul C
75 Pringle Way Ste 509 , Reno NV 89502-1469 -
Clutter, Donald J
1561 Creekside Dr Ste 180 , Folsom CA 95630-3495 -
Aachen-Winans, James
415 Sewell Dr , Sparta TN 38583-1223 -
Chang, John Chun-Lu
757 Norland Avenue Suite 203, Chambersburg PA 17201-4231 -
Pershall, Kim E
3811 24Th Street , Lubbock TX 79410-1813 -
Sterman, Bruce
2708 Crawfis Blvd , Fairlawn OH 44333-2850 -
Shapiro, Adam Marc
9149 Estate Thomas Ste 308, St Thomas VI 00802-2615