Wallace, Charles Douglas
Wallace, Charles Douglas is an individual health care provider with primary practice located at 3030 Childrens Way Ste 410, San Diego CA 92123-4232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallace, Charles Douglas can be contacted via phone (858) 966-6789.Contact Information
Primary practice address
3030 Childrens Way Ste 410
San Diego CA 92123-4232
Phone: (858) 966-6789
Fax: (858) 966-8519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G67953 | California |
Profile Details
| NPI number | 1144229600 |
|---|---|
| LBN Legal business name | Wallace, Charles Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Nov 2nd, 2011 - about 15 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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