Wallace, Thomas W

Wallace, Thomas W is an individual health care provider with primary practice located at 180 Grand Ave Ste 100 , Oakland CA 94612-3766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wallace, Thomas W can be contacted via phone (510) 208-4700.

Contact Information

Primary practice address
180 Grand Ave Ste 100 Oakland CA 94612-3766
Phone: (510) 208-4700
Fax: (510) 208-4540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C37624 California

Profile Details

NPI number 1386789147
LBN Legal business name Wallace, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 19 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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