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Contact Information

RICHARD E WALLER, MD
14355 SOMMERVILLE CT
MIDLOTHIAN, VA23113
 Phone: 804-379-7721
 Fax: 804-379-7699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RICHARD E WALLER · (Male)

NPI # 1871541862
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 03/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101040746
  • VA Medicaid 010131855
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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