Lyon, Adam Waalkes
Lyon, Adam Waalkes is an individual health care provider with primary practice located at 2610 Enterprise Dr , Anderson IN 46013-9684. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Lyon, Adam Waalkes can be contacted via phone (800) 622-6575.Contact Information
Primary practice address
2610 Enterprise Dr
Anderson IN 46013-9684
Phone: (800) 622-6575
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301098704 | Michigan |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301098704 | Michigan |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01078585A | Indiana |
Profile Details
NPI number | 1356635932 |
---|---|
LBN Legal business name | Lyon, Adam Waalkes |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2011 |
Last updated | Nov 13th, 2023 - about 2 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 | 1356635932 | NPPES |
Indiana | MEDICAID | 300003305 |
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