Gauntner, Wallace C

Gauntner, Wallace C is an individual health care provider with primary practice located at 824 California Ave , Pittsburgh PA 15202-2706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gauntner, Wallace C can be contacted via phone (412) 766-3232.

Contact Information

Primary practice address
824 California Ave Pittsburgh PA 15202-2706
Phone: (412) 766-3232
Fax: (412) 766-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35068280 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD019281E Pennsylvania

Profile Details

NPI number 1114929403
LBN Legal business name Gauntner, Wallace C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 15th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114929403 NPPES
West Virginia MEDICAID 0070822000
West Virginia MEDICAID 0642228
West Virginia Other 110025252
West Virginia MEDICAID 000793311

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