Waller, Robert C

Waller, Robert C is an sole proprietor health care provider with primary practice located at 446 Morgan St , Cincinnati OH 45206-2348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Waller, Robert C can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
446 Morgan St Cincinnati OH 45206-2348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301087247 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 4301087247 Michigan

Profile Details

NPI number 1326097809
LBN Legal business name Waller, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Sep 22nd, 2022 - about 2 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 1326097809 NPPES
Michigan Other P00343656 RAILROAD MEDICARE

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