Wallen, Neil D

Wallen, Neil D is an individual health care provider with primary practice located at 933 Highway 126 , Bristol TN 37620-3310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Wallen, Neil D can be contacted via phone (423) 844-7000.

Contact Information

Primary practice address
933 Highway 126 Bristol TN 37620-3310
Phone: (423) 844-7000
Fax: (423) 844-7007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD0000017754 Tennessee

Profile Details

NPI number 1326043373
LBN Legal business name Wallen, Neil D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 24th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326043373 NPPES
Virginia MEDICAID 1326043373
Virginia MEDICAID 006002188
Virginia MEDICAID 1510634
Virginia MEDICAID 3032572

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