Waller, Edward
Waller, Edward is an individual health care provider with primary practice located at 1001 E Baker St Suite100, Plant City FL 33563-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Waller, Edward can be contacted via phone (813) 754-5555.Contact Information
Primary practice address
1001 E Baker St Suite100
Plant City FL 33563-3700
Phone: (813) 754-5555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1811387178 |
|---|---|
| LBN Legal business name | Waller, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2015 |
| Last updated | Jan 26th, 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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