Walls, Laura

Walls, Laura is an individual health care provider with primary practice located at 5515 W 38Th St , Indianapolis IN 46254-2919. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Walls, Laura can be contacted via phone (317) 880-3838.

Contact Information

Primary practice address
5515 W 38Th St Indianapolis IN 46254-2919
Phone: (317) 880-3838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301083454 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01070071A Indiana

Profile Details

NPI number 1336272426
LBN Legal business name Walls, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jun 5th, 2024 - about 2 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 1336272426 NPPES
Indiana Other 000000743091 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201045100 ANTHEM PROVIDER NUMBER

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