Wise, Thomas
Wise, Thomas is an individual health care provider with primary practice located at Inova Fairfax Hospital 3300 Gallows Road, Falls Church VA 22042-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wise, Thomas can be contacted via phone (703) 776-3626.Contact Information
Primary practice address
Inova Fairfax Hospital 3300 Gallows Road
Falls Church VA 22042-3300
Phone: (703) 776-3626
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D15386 | Maryland |
Profile Details
NPI number | 1689610669 |
---|---|
LBN Legal business name | Wise, Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1689610669 | NPPES |
Maryland | MEDICAID | 920006100 |
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