Mady, Walter
Mady, Walter is an individual health care provider with primary practice located at 4801 Dorsey Hall Dr Suite 130, Ellicott City MD 21042-7766. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Mady, Walter can be contacted via phone (410) 730-9851.Contact Information
Primary practice address
4801 Dorsey Hall Dr Suite 130
Ellicott City MD 21042-7766
Phone: (410) 730-9851
Fax: (410) 730-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 15340 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 15340 | Maryland |
Profile Details
| NPI number | 1831185784 |
|---|---|
| LBN Legal business name | Mady, Walter |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Dec 9th, 2008 - about 17 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 | 1831185784 | NPPES |
| Maryland | Other | 6545-0003 | BLUE CHOICE |
| Maryland | Other | 236397 | BLUE CHOICE |
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