Waller, Andrew
Waller, Andrew is an individual health care provider with primary practice located at 300 Valley St Ne , Abingdon VA 24210-2912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Waller, Andrew can be contacted via phone (276) 206-8197.Contact Information
Primary practice address
300 Valley St Ne
Abingdon VA 24210-2912
Phone: (276) 206-8197
Fax: (276) 206-8761
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0101257630 | Virginia |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101257630 | Virginia |
Profile Details
NPI number | 1053334219 |
---|---|
LBN Legal business name | Waller, Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Aug 14th, 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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