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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689610669 NPPES
Maryland MEDICAID 920006100

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