Walley, Robert
Walley, Robert is an sole proprietor health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Walley, Robert can be contacted via phone (601) 268-5650.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 268-5650
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | S8672 | Texas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 30801 | Mississippi |
Profile Details
| NPI number | 1588047567 |
|---|---|
| LBN Legal business name | Walley, Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2015 |
| Last updated | Jan 5th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588047567 | NPPES |
| Texas | Other | 1J2146 | MEDICARE |
| Texas | MEDICAID | 417472401 | MEDICARE |
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