Search › District of Columbia › 163WH0200X
Matthew Wallace
NPI 1265390389 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4778 S Capitol Ter Sw Unit A
Washington, DC 20032 - Phone
- (202) 422-6987
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 3747P1801X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia