Waller, Joan C

Waller, Joan C is an individual health care provider with primary practice located at 2100 Keystone Ave Suite 406, Drexel Hill PA 19026-1129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Waller, Joan C can be contacted via phone (610) 622-8900.

Contact Information

Primary practice address
2100 Keystone Ave Suite 406 Drexel Hill PA 19026-1129
Fax: (610) 622-8904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD015407E Pennsylvania

Profile Details

NPI number 1679610109
LBN Legal business name Waller, Joan C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 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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