Walters, Mary L

Walters, Mary L is an sole proprietor health care provider with primary practice located at 7082 Quail Lakes Dr , Holland OH 43528-9389. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Walters, Mary L can be contacted via phone (419) 349-8000.

Contact Information

Primary practice address
7082 Quail Lakes Dr Holland OH 43528-9389
Phone: (419) 349-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X OH 126 Ohio

Profile Details

NPI number 1942498639
LBN Legal business name Walters, Mary L
Credentials L.D., R.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Nov 17th, 2020 - about 6 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 1942498639 NPPES
Ohio MEDICAID 0192244
Ohio Other 4809121

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