Waller, Callie A

Waller, Callie A is an individual health care provider with primary practice located at 801 Colonial Cir , Norwalk IA 50211-9626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Waller, Callie A can be contacted via phone (515) 285-3200.

Contact Information

Primary practice address
801 Colonial Cir Norwalk IA 50211-9626
Fax: (515) 285-3232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9248 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO-04329 Iowa

Profile Details

NPI number 1346537560
LBN Legal business name Waller, Callie A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2011
Last updated Feb 27th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346537560 NPPES
Iowa MEDICAID 1346537560
Iowa Other P01353155

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