Walloch, Ian T
Walloch, Ian T is an sole proprietor health care provider with primary practice located at 780 Lynnhaven Pkwy Ste 400 , Virginia Beach VA 23452-7332. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Walloch, Ian T can be contacted via phone (224) 206-5001.Contact Information
Primary practice address
780 Lynnhaven Pkwy Ste 400
Virginia Beach VA 23452-7332
Phone: (224) 206-5001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1659834992 |
|---|---|
| LBN Legal business name | Walloch, Ian T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2019 |
| Last updated | Jan 17th, 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.
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