Walker, Jane Houghtaling
Walker, Jane Houghtaling is an sole proprietor health care provider with primary practice located at 18Th Medical Group Unit 5142, Apo AP 96368. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walker, Jane Houghtaling can be contacted via phone (315) 634-3272.Contact Information
Primary practice address
18Th Medical Group Unit 5142
Apo AP 96368
Phone: (315) 634-3272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006535 | Illinois |
Profile Details
| NPI number | 1821193319 |
|---|---|
| LBN Legal business name | Walker, Jane Houghtaling |
| Credentials | PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Apr 12th, 2021 - about 3 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 | 1821193319 | NPPES |
| Illinois | Other | 02232380 | BCBS PROVIDER # |
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