Walley, Ama D
Walley, Ama D is an individual health care provider with primary practice located at 1220 W Chester Pike , Havertown PA 19083-3339. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Walley, Ama D can be contacted via phone (484) 454-3230.Contact Information
Primary practice address
1220 W Chester Pike
Havertown PA 19083-3339
Phone: (484) 454-3230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN031436A | Pennsylvania |
Profile Details
| NPI number | 1649269283 |
|---|---|
| LBN Legal business name | Walley, Ama D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Apr 29th, 2016 - about 10 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 | 1649269283 | NPPES |
| Pennsylvania | MEDICAID | 0182803704 |
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