Wallen, Beth Anne

Wallen, Beth Anne is an individual health care provider with primary practice located at 845 Fishburn Rd , Hershey PA 17033-2015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wallen, Beth Anne can be contacted via phone (717) 531-8181.

Contact Information

Primary practice address
845 Fishburn Rd Hershey PA 17033-2015
Fax: (717) 531-3509
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD052735L Pennsylvania

Profile Details

NPI number 1447218540
LBN Legal business name Wallen, Beth Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 9th, 2019 - about 5 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 1447218540 NPPES
Pennsylvania MEDICAID 0014823610006

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