Knake, Walter Pierce
Knake, Walter Pierce is an sole proprietor health care provider with primary practice located at 3659 S. Green Rd. Suite 119, Beachwood OH 44122-5715. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Knake, Walter Pierce can be contacted via phone (216) 831-0056.Contact Information
Primary practice address
3659 S. Green Rd. Suite 119
Beachwood OH 44122-5715
Phone: (216) 831-0056
Fax: (216) 831-5804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 164 | Ohio |
Profile Details
| NPI number | 1427051861 |
|---|---|
| LBN Legal business name | Knake, Walter Pierce |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 31st, 2011 - about 13 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 | 1427051861 | NPPES |
| Ohio | MEDICAID | 0538967 | |
| Ohio | Other | BWC 341493791-00 | |
| Ohio | Other | MAGELLAN 27059000 |
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