Walter, Dyllan Joan
Walter, Dyllan Joan is an individual health care provider with primary practice located at 1600 Horizon Dr Ste 117 , Chalfont PA 18914-4100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walter, Dyllan Joan can be contacted via phone (215) 997-9737.Contact Information
Primary practice address
1600 Horizon Dr Ste 117
Chalfont PA 18914-4100
Phone: (215) 997-9737
Fax: (215) 997-9738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP010278 | Pennsylvania |
Profile Details
| NPI number | 1780915090 |
|---|---|
| LBN Legal business name | Walter, Dyllan Joan |
| Credentials | C.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2010 |
| Last updated | Oct 22nd, 2019 - about 7 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 | 1780915090 | NPPES |
| Pennsylvania | MEDICAID | 1024978654 |
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