Nunnally, Walter C

Nunnally, Walter C is an sole proprietor health care provider with primary practice located at 631 N Cummings Ln , Washington IL 61571-7501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Nunnally, Walter C can be contacted via phone (309) 444-9900.

Contact Information

Primary practice address
631 N Cummings Ln Washington IL 61571-7501
Phone: (309) 444-9900
Fax: (309) 444-9901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21633 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180005889 Illinois

Profile Details

NPI number 1801854484
LBN Legal business name Nunnally, Walter C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jun 21st, 2008 - about 18 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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