Wall, Rod Alan
Wall, Rod Alan is an individual health care provider with primary practice located at 1123 Franklin St , Johnstown PA 15905-4309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wall, Rod Alan can be contacted via phone (814) 539-5340.Contact Information
Primary practice address
1123 Franklin St
Johnstown PA 15905-4309
Phone: (814) 539-5340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD017369E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD017369E | Pennsylvania |
Profile Details
| NPI number | 1356376305 |
|---|---|
| LBN Legal business name | Wall, Rod Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1356376305 | NPPES |
| Pennsylvania | MEDICAID | 0006455980002 |
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