Wallen, Elizabeth

Wallen, Elizabeth is an individual health care provider with primary practice located at 20 Calle Cal , Santa Fe NM 87508. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Wallen, Elizabeth can be contacted via phone (614) 266-8533.

Contact Information

Primary practice address
20 Calle Cal Santa Fe NM 87508
Phone: (614) 266-8533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35055437 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-055437 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD000025868 New Mexico
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD43857E Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35.055437 Ohio

Profile Details

NPI number 1285634071
LBN Legal business name Wallen, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated May 15th, 2018 - about 7 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 1285634071 NPPES
Ohio MEDICAID 0665945

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