Chlysta, Walter J
Chlysta, Walter J is an sole proprietor health care provider with primary practice located at 1900 23Rd St , Cuyahoga Falls OH 44223-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chlysta, Walter J can be contacted via phone (330) 926-3443.Contact Information
Primary practice address
1900 23Rd St
Cuyahoga Falls OH 44223-1404
Phone: (330) 926-3443
Fax: (330) 255-5092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35070064 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.070064 | Ohio |
Profile Details
| NPI number | 1942250162 |
|---|---|
| LBN Legal business name | Chlysta, Walter J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 22nd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942250162 | NPPES |
| Ohio | MEDICAID | 2101086 |
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