Walia, Jessica Yang

Walia, Jessica Yang is an individual health care provider with primary practice located at 4901 Forest Park Ave Dept Ophthalmology, 6Th Fl, Saint Louis MO 63108-1495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Walia, Jessica Yang can be contacted via phone (314) 362-3937.

Contact Information

Primary practice address
4901 Forest Park Ave Dept Ophthalmology, 6Th Fl Saint Louis MO 63108-1495
Phone: (314) 362-3937
Fax: (314) 362-3725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2022016366 Missouri

Profile Details

NPI number 1134625627
LBN Legal business name Walia, Jessica Yang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Jun 20th, 2024 - about last year

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 1134625627 NPPES
Missouri MEDICAID 200109579

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