Waltner, Timothy O

Waltner, Timothy O is an individual health care provider with primary practice located at 2800 Clay Edwards Dr , Kansas City MO 64116-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Waltner, Timothy O can be contacted via phone (816) 691-5201.

Contact Information

Primary practice address
2800 Clay Edwards Dr Kansas City MO 64116-3220
Phone: (816) 691-5201
Fax: (816) 346-7063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 2005010786 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2005010786 Missouri

Profile Details

NPI number 1114084522
LBN Legal business name Waltner, Timothy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 3rd, 2014 - about 12 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 1114084522 NPPES
Missouri Other 9499055 AETNA
Missouri MEDICAID 1114084522 AETNA
Missouri MEDICAID 200270670B AETNA
Missouri Other 38347013 AETNA
Missouri Other P00397045 AETNA

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