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Contact Information

WILLIAM ROBERT C WALLIS, OD
838 MARKET ST
ZANESVILLE, OH43701
 Phone: 740-452-9319
 Fax: 740-452-2427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for WILLIAM ROBERT C WALLIS · (Male)

NPI Number 1356317937
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 34004926
  • OH Medicaid 0940245
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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