Walling, Guy R

Walling, Guy R is an individual health care provider with primary practice located at 5470 East 16Th Street , Indianapolis IN 46218-4861. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Walling, Guy R can be contacted via phone (317) 355-5009.

Contact Information

Primary practice address
5470 East 16Th Street Indianapolis IN 46218-4861
Phone: (317) 355-5009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71002327A Indiana

Profile Details

NPI number 1972649887
LBN Legal business name Walling, Guy R
Credentials NP NURSE PRACTITIONE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 8th, 2018 - about 7 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 1972649887 NPPES
Indiana MEDICAID 100270530A
Indiana MEDICAID 201086220

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