Friedman, Wallace

Friedman, Wallace is an individual health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1448. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Friedman, Wallace can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1448
Phone: (615) 327-4304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 020377 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20377 Tennessee

Profile Details

NPI number 1952307118
LBN Legal business name Friedman, Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 20th, 2008 - about 18 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 1952307118 NPPES
Tennessee Other 3029954 BCBS NUMBER
Tennessee MEDICAID 3053142 BCBS NUMBER
Tennessee MEDICAID 009992535 BCBS NUMBER
Tennessee MEDICAID 64798267 BCBS NUMBER

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