Waller, Christine Diane
Waller, Christine Diane is an sole proprietor health care provider with primary practice located at 114 Executive Dr Ste E , Lafayette IN 47905-4875. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Waller, Christine Diane can be contacted via phone (765) 446-0170.Contact Information
Primary practice address
114 Executive Dr Ste E
Lafayette IN 47905-4875
Phone: (765) 446-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | BO9667710-705-41 | Ohio |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02003516A | Indiana |
Profile Details
| NPI number | 1346453552 |
|---|---|
| LBN Legal business name | Waller, Christine Diane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Feb 3rd, 2022 - 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.
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