Wallner, Harry R
Wallner, Harry R is an individual health care provider with primary practice located at 1100 36Th Avenue , Moline IL 61265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wallner, Harry R can be contacted via phone (309) 743-6700.Contact Information
Primary practice address
1100 36Th Avenue
Moline IL 61265
Phone: (309) 743-6700
Fax: (309) 764-2042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036058715 | Illinois |
Profile Details
| NPI number | 1407835366 |
|---|---|
| LBN Legal business name | Wallner, Harry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1407835366 | NPPES |
| Iowa | MEDICAID | 0556977 | |
| Iowa | MEDICAID | 036058715 | |
| Iowa | Other | 060053307 |
Popular Providers
-
Dakas, Jeffrey Lee
1500 N Westwood Blvd , Poplar Bluff MO 63901-3318 -
Shen, Mark Jung-Ching
1100 36Th Ave , Moline IL 61265-7127 -
Debenedetti, Laura L
2940 N Mccord Rd , Toledo OH 43615-1753 -
Backer, Thomas S
3905 Brookside Pkwy Ste 202 , Alpharetta GA 30022-4425 -
Santucci, John J
1999 Marcus Ave Suite 110, Lake Success NY 11042-1017 -
Bayat, Hamed
1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113 -
Manazir, Faraz
1100 36Th Avenue , Moline IL 61265 -
Patlolla, Harish Reddy
1100 36Th Ave , Moline IL 61265-7127