Conlan, Walter A
Conlan, Walter A is an individual health care provider with primary practice located at 55 W Gore St , Orlando FL 32806-1113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Conlan, Walter A can be contacted via phone (321) 841-5469.Contact Information
Primary practice address
55 W Gore St
Orlando FL 32806-1113
Phone: (321) 841-5469
Fax: (321) 841-7470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME70963 | Florida |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | ME70963 | Florida |
Profile Details
NPI number | 1952311870 |
---|---|
LBN Legal business name | Conlan, Walter A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Oct 8th, 2019 - about 5 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 | 1952311870 | NPPES |
Florida | Other | 250013030 | RAILROAD MEDICARE |
Florida | MEDICAID | 251971200 | RAILROAD MEDICARE |
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