Osorio, Walter Raul
Osorio, Walter Raul is an sole proprietor health care provider with primary practice located at 621 Memorial Dr Ste 502 , South Bend IN 46601-1075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Osorio, Walter Raul can be contacted via phone (574) 647-5875.Contact Information
Primary practice address
621 Memorial Dr Ste 502
South Bend IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71013751A | Indiana |
Profile Details
NPI number | 1811608334 |
---|---|
LBN Legal business name | Osorio, Walter Raul |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 6th, 2022 |
Last updated | Jun 1st, 2023 - about last year |
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 | 1811608334 | NPPES |
Indiana | MEDICAID | 300075201 |
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