Wallen, Arthur M.
Wallen, Arthur M. is an sole proprietor health care provider with primary practice located at 10929 Nw 35Th Pl , Gainesville FL 32606-4972. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Wallen, Arthur M. can be contacted via phone (352) 339-5197.Contact Information
Primary practice address
10929 Nw 35Th Pl
Gainesville FL 32606-4972
Phone: (352) 339-5197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 1-03-1050 | Florida |
Profile Details
| NPI number | 1518116961 |
|---|---|
| LBN Legal business name | Wallen, Arthur M. |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Sep 10th, 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 | 1518116961 | NPPES |
| Florida | MEDICAID | 686363996 |
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