Walling, Debra A

Walling, Debra A is an sole proprietor health care provider with primary practice located at 911 Randolph St , Dayton OH 45417-3734. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Walling, Debra A can be contacted via phone (440) 796-8819.

Contact Information

Primary practice address
911 Randolph St Dayton OH 45417-3734
Fax:
Website:

Profile Details

NPI number 1164012928
LBN Legal business name Walling, Debra A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2021
Last updated Jan 25th, 2021 - about 3 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 1164012928 NPPES
Ohio MEDICAID 108413670299

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