Walter, Harrison Glen
Walter, Harrison Glen is an individual health care provider with primary practice located at 621 Memorial Dr Ste 502 , South Bend IN 46601-1075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Walter, Harrison Glen can be contacted via phone (574) 647-5875.Contact Information
Primary practice address
621 Memorial Dr Ste 502
South Bend IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71013828A | Indiana |
Profile Details
| NPI number | 1871176263 |
|---|---|
| LBN Legal business name | Walter, Harrison Glen |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2021 |
| Last updated | Jun 2nd, 2023 - about 2 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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