Elrod, Walter

Elrod, Walter is an individual health care provider with primary practice located at 611 W. Park St. Emergency Med., Urbana IL 61801-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Elrod, Walter can be contacted via phone (217) 383-3313.

Contact Information

Primary practice address
611 W. Park St. Emergency Med. Urbana IL 61801-2500
Phone: (217) 383-3313
Fax: (217) 383-4014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-07-5044 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036140323 Illinois

Profile Details

NPI number 1235199738
LBN Legal business name Elrod, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 29th, 2017 - about 7 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 1235199738 NPPES
Ohio MEDICAID 2095950
Ohio MEDICAID 4429887
Ohio Other 000000271432
Ohio Other 341960760027
Ohio Other 727137
Ohio MEDICAID 810547599035
Ohio Other 000000372958

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