Patrick, John Walter
Patrick, John Walter is an sole proprietor health care provider with primary practice located at 4643 S Clyde Morris Blvd Suite 306, Port Orange FL 32129-6000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Patrick, John Walter can be contacted via phone (386) 761-3101.Contact Information
Primary practice address
4643 S Clyde Morris Blvd Suite 306
Port Orange FL 32129-6000
Phone: (386) 761-3101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY3313 | Florida |
Profile Details
| NPI number | 1720015274 |
|---|---|
| LBN Legal business name | Patrick, John Walter |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
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