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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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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