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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRENDA S WALLER, MD
1935 THOMSON DR
LYNCHBURG, VA24501-1008
 Phone: 434-528-0896
 Fax: 434-528-0898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BRENDA S WALLER · (Female)

NPI Number 1093794133
Credentials MD
Entity Individual
Enumeration date 01/16/2006
Last updated 02/05/2014 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
VA License # 0101055485
Hospital affiliation(s) n/a
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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