Wallin, Amy L
Wallin, Amy L is an individual health care provider with primary practice located at 1271 8Th St Suite 100, West Des Moines IA 50265-2650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wallin, Amy L can be contacted via phone (515) 224-4993.Contact Information
Primary practice address
1271 8Th St Suite 100
West Des Moines IA 50265-2650
Phone: (515) 224-4993
Fax: (515) 224-1505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD-32980 | Iowa |
Profile Details
| NPI number | 1104804087 |
|---|---|
| LBN Legal business name | Wallin, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Feb 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104804087 | NPPES |
| Iowa | MEDICAID | 0186809 | |
| Iowa | Other | 370013781 | |
| Iowa | MEDICAID | 1104804087 |
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