Wald, Brian K
Wald, Brian K is an sole proprietor health care provider with primary practice located at 1 Columbus Ctr Ste 600, Virginia Beach VA 23462-6722. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wald, Brian K can be contacted via phone (757) 333-7501.Contact Information
Primary practice address
1 Columbus Ctr Ste 600
Virginia Beach VA 23462-6722
Phone: (757) 333-7501
Fax: (757) 490-7804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001650 | Virginia |
Profile Details
NPI number | 1093787970 |
---|---|
LBN Legal business name | Wald, Brian K |
Credentials | PSY D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2006 |
Last updated | Aug 5th, 2011 - about 13 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 | 1093787970 | NPPES |
Other | 087278 | MAGELLAN | |
Other | 275889 | MAGELLAN | |
Other | 000775 | MAGELLAN | |
Other | 380798 | MAGELLAN | |
Other | C02527 | MAGELLAN | |
Other | 080411 | MAGELLAN | |
MEDICAID | 007708491 | MAGELLAN | |
Other | 380798 | MAGELLAN | |
Other | 43220 | MAGELLAN | |
Other | 680009370 | MAGELLAN | |
Other | 258293 | MAGELLAN |
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