Wall, Amy Barta
Wall, Amy Barta is an individual health care provider with primary practice located at 1214 Reynolda Rd Suite A, Winston Salem NC 27104-1151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wall, Amy Barta can be contacted via phone (336) 723-2555.Contact Information
Primary practice address
1214 Reynolda Rd Suite A
Winston Salem NC 27104-1151
Phone: (336) 723-2555
Fax: (336) 723-9007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 9800734 | North Carolina |
Profile Details
| NPI number | 1922297654 |
|---|---|
| LBN Legal business name | Wall, Amy Barta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Nov 3rd, 2010 - about 16 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 | 1922297654 | NPPES |
| North Carolina | MEDICAID | 7910405 |
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