Waller, Erik
Waller, Erik is an sole proprietor health care provider with primary practice located at 231 Methodist Blvd , Hattiesburg MS 39402-1297. He recently has only one registered license in Nursing Service Providers / Administrator, which is considered as his primary health care specialty. Waller, Erik can be contacted via phone (601) 296-3530.Contact Information
Primary practice address
231 Methodist Blvd
Hattiesburg MS 39402-1297
Phone: (601) 296-3530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | R895622 | Mississippi |
Profile Details
| NPI number | 1699147033 |
|---|---|
| LBN Legal business name | Waller, Erik |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2015 |
| Last updated | Oct 26th, 2015 - about 9 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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