Waller, Brenda Sue

Waller, Brenda Sue is an sole proprietor health care provider with primary practice located at 2600 Memorial Ave Suite 201B , Lynchburg VA 24501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Waller, Brenda Sue can be contacted via phone (434) 528-0896.

Contact Information

Primary practice address
2600 Memorial Ave Suite 201B Lynchburg VA 24501
Phone: (434) 528-0896
Fax: (434) 528-0896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101055485 Virginia

Profile Details

NPI number 1093794133
LBN Legal business name Waller, Brenda Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2006
Last updated Feb 27th, 2024 - about last year

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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