Walt, George Eric

Walt, George Eric is an individual health care provider with primary practice located at 812 Broad Ave , Belle Vernon PA 15012-1664. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Walt, George Eric can be contacted via phone (724) 929-5774.

Contact Information

Primary practice address
812 Broad Ave Belle Vernon PA 15012-1664
Phone: (724) 929-5774
Fax: (724) 929-9524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT005458L Pennsylvania

Profile Details

NPI number 1619905981
LBN Legal business name Walt, George Eric
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 9th, 2007 - about 17 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 1619905981 NPPES
Pennsylvania MEDICAID 0015935850006

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