Walls, Michael Jason

Walls, Michael Jason is an individual health care provider with primary practice located at 320 Thomas More Pkwy Suite 202, Crestview Hills KY 41017-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Walls, Michael Jason can be contacted via phone (859) 331-0432.

Contact Information

Primary practice address
320 Thomas More Pkwy Suite 202 Crestview Hills KY 41017-3410
Phone: (859) 331-0432
Fax: (859) 331-0956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 42678 Kentucky

Profile Details

NPI number 1083888325
LBN Legal business name Walls, Michael Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Feb 13th, 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 1083888325 NPPES
Other 9318357 AETNA PIN
Other CS1811400200 AETNA PIN
MEDICAID 7100086870 AETNA PIN
Other 000001148521 AETNA PIN
MEDICAID 0295938 AETNA PIN
MEDICAID 300012365 AETNA PIN
Other 003031812 AETNA PIN
Other 15725575 AETNA PIN
Other 298418KYIP AETNA PIN
Other P02011197 AETNA PIN

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