Wall, Maryann Purdy
Wall, Maryann Purdy is an sole proprietor health care provider with primary practice located at 940 Central Park Dr Suite 207, Steamboat Springs CO 80487-8816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Wall, Maryann Purdy can be contacted via phone (970) 879-3200.Contact Information
Primary practice address
940 Central Park Dr Suite 207
Steamboat Springs CO 80487-8816
Phone: (970) 879-3200
Fax: (970) 879-4608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 37010 | Colorado |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 37010 | Colorado |
Profile Details
| NPI number | 1528065695 |
|---|---|
| LBN Legal business name | Wall, Maryann Purdy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528065695 | NPPES |
| Colorado | MEDICAID | 01370105 |
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