Walling, Guy R
Walling, Guy R is an individual health care provider with primary practice located at 5470 East 16Th Street , Indianapolis IN 46218-4861. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Walling, Guy R can be contacted via phone (317) 355-5009.Contact Information
Primary practice address
5470 East 16Th Street
Indianapolis IN 46218-4861
Phone: (317) 355-5009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71002327A | Indiana |
Profile Details
| NPI number | 1972649887 |
|---|---|
| LBN Legal business name | Walling, Guy R |
| Credentials | NP NURSE PRACTITIONE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Oct 8th, 2018 - about 8 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 | 1972649887 | NPPES |
| Indiana | MEDICAID | 100270530A | |
| Indiana | MEDICAID | 201086220 |
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