Walley, Robert

Walley, Robert is an sole proprietor health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Walley, Robert can be contacted via phone (601) 268-5650.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5650
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X S8672 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 30801 Mississippi

Profile Details

NPI number 1588047567
LBN Legal business name Walley, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2015
Last updated Jan 5th, 2023 - about 3 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 1588047567 NPPES
Texas Other 1J2146 MEDICARE
Texas MEDICAID 417472401 MEDICARE

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