Chlysta, Walter J

Chlysta, Walter J is an sole proprietor health care provider with primary practice located at 1900 23Rd St , Cuyahoga Falls OH 44223-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chlysta, Walter J can be contacted via phone (330) 926-3443.

Contact Information

Primary practice address
1900 23Rd St Cuyahoga Falls OH 44223-1404
Phone: (330) 926-3443
Fax: (330) 255-5092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35070064 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.070064 Ohio

Profile Details

NPI number 1942250162
LBN Legal business name Chlysta, Walter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jan 22nd, 2018 - about 8 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 1942250162 NPPES
Ohio MEDICAID 2101086

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