Wald, John Joseph

Wald, John Joseph is an individual health care provider with primary practice located at 1201 E Michigan Ave Ste 230, Jackson MI 49201-1852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wald, John Joseph can be contacted via phone (517) 817-7620.

Contact Information

Primary practice address
1201 E Michigan Ave Ste 230 Jackson MI 49201-1852
Phone: (517) 817-7620
Fax: (517) 817-7619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301052794 Michigan

Profile Details

NPI number 1275627366
LBN Legal business name Wald, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 11th, 2011 - about 15 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 1275627366 NPPES
Michigan MEDICAID 4256604

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