Walter J Chlysta Md Inc

LBN: Walter J Chlysta Md Inc
Walter J Chlysta Md Inc is an health care organization with primary practice located at 400 Wabash Ave , Akron OH 44307-2433. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Walter J Chlysta Md Inc can be contacted via phone (330) 344-1100, or through Chlysta, Walter J via phone (330) 344-1100.

Contact Information

Primary practice address
400 Wabash Ave Akron OH 44307-2433
Fax: (330) 344-0032
Website:
Authorized official contact:
Name: Chlysta, Walter J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35070064 Ohio

Profile Details

NPI number 1063692945
LBN Legal business name Walter J Chlysta Md Inc
DBA Doing business as
Authorized official Chlysta, Walter J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Mar 21st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063692945 NPPES
Ohio Other 26968393500 BWC
Ohio Other 020049032 BWC
Ohio MEDICAID 2101086 BWC

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