Wallis, Joseph J

Wallis, Joseph J is an individual health care provider with primary practice located at 600 Mount Pleasant Ave Suite G, Dover NJ 07801-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wallis, Joseph J can be contacted via phone (973) 989-9000.

Contact Information

Primary practice address
600 Mount Pleasant Ave Suite G Dover NJ 07801-1629
Fax: (973) 989-8225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MB02488400 New Jersey

Profile Details

NPI number 1285672154
LBN Legal business name Wallis, Joseph J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 23rd, 2015 - about 9 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 1285672154 NPPES
New Jersey Other 25MB02488400 STATE LICENSE

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