Walter, Jordyn

Walter, Jordyn is an sole proprietor health care provider with primary practice located at 424 W State Highway 5 , Waconia MN 55387-1723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Walter, Jordyn can be contacted via phone (952) 442-4461.

Contact Information

Primary practice address
424 W State Highway 5 Waconia MN 55387-1723
Phone: (952) 442-4461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 68084 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1881155729
LBN Legal business name Walter, Jordyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2019
Last updated Sep 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881155729 NPPES
Minnesota MEDICAID 1881155729

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