Walstad, Joe
Walstad, Joe is an individual health care provider with primary practice located at 501 Redmond Rd Nw , Rome GA 30165-1415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Walstad, Joe can be contacted via phone (706) 291-0291.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 021369 | Georgia |
Profile Details
| NPI number | 1417998295 |
|---|---|
| LBN Legal business name | Walstad, Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jun 4th, 2008 - about 16 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 | 1417998295 | NPPES |
| Georgia | MEDICAID | 000259773G |
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