Trudo, Walter Jesse

Trudo, Walter Jesse is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Trudo, Walter Jesse can be contacted via phone (479) 659-2746.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (479) 659-2746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R 0090514 Oklahoma

Profile Details

NPI number 1841243474
LBN Legal business name Trudo, Walter Jesse
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 17th, 2016 - about 9 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 1841243474 NPPES
Michigan Other 4704251198 ANESTHESIOLOGY

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