Walle, Alexander Jorg
Walle, Alexander Jorg is an sole proprietor health care provider with primary practice located at 13223 79Th St , Ozone Park NY 11417-1137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walle, Alexander Jorg can be contacted via phone (718) 456-5600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 162148 | New York |
Profile Details
| NPI number | 1134154792 |
|---|---|
| LBN Legal business name | Walle, Alexander Jorg |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 4th, 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 | 1134154792 | NPPES |
| New York | MEDICAID | 01345073 | |
| New York | Other | 04310 |
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