Wallop, John Douglass
Wallop, John Douglass is an individual health care provider with primary practice located at 2661 Riva Rd Bldg 600, Suite 601, Annapolis MD 21401-7353. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wallop, John Douglass can be contacted via phone (410) 266-6626.Contact Information
Primary practice address
2661 Riva Rd Bldg 600, Suite 601
Annapolis MD 21401-7353
Phone: (410) 266-6626
Fax: (410) 266-3026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 17006 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 17006 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 17006 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 17006 | Maryland |
Profile Details
| NPI number | 1275526253 |
|---|---|
| LBN Legal business name | Wallop, John Douglass |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | May 9th, 2012 - about 13 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 | 1275526253 | NPPES |
| Maryland | Other | 227912 | MAMSI PROVIDER NUMBER |
| Maryland | Other | 7947168 | MAMSI PROVIDER NUMBER |
| Maryland | Other | 2621453 | MAMSI PROVIDER NUMBER |
| Maryland | Other | 53056502 | MAMSI PROVIDER NUMBER |
| Maryland | Other | KN59 | MAMSI PROVIDER NUMBER |
| Maryland | Other | W0290002 | MAMSI PROVIDER NUMBER |
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