Walia, Jag Mohan S
Walia, Jag Mohan S is an sole proprietor health care provider with primary practice located at 320 E Fontanero St , Colorado Springs CO 80907-7529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Walia, Jag Mohan S can be contacted via phone (719) 866-6218.Contact Information
Primary practice address
320 E Fontanero St
Colorado Springs CO 80907-7529
Phone: (719) 866-6218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 40287 | Colorado |
Profile Details
| NPI number | 1760406359 |
|---|---|
| LBN Legal business name | Walia, Jag Mohan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760406359 | NPPES |
| Colorado | Other | 811604 | MEDICARE GROUP NUMBER |
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