St Louis Angervil, Peter Walmy

St Louis Angervil, Peter Walmy is an sole proprietor health care provider with primary practice located at 1940 Mesquite Ave , Lake Havasu City AZ 86403-6123. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. St Louis Angervil, Peter Walmy can be contacted via phone (928) 459-3512.

Contact Information

Primary practice address
1940 Mesquite Ave Lake Havasu City AZ 86403-6123
Phone: (928) 459-3512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-253666 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1238 Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9800 Arizona

Profile Details

NPI number 1598414096
LBN Legal business name St Louis Angervil, Peter Walmy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2022
Last updated Sep 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598414096 NPPES
Florida MEDICAID 100588329
Florida MEDICAID 137583

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