Walter, Jolan E

Walter, Jolan E is an individual health care provider with primary practice located at 601 5Th St S Ach Outpatient Care Center, St Petersburg FL 33701-4804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Walter, Jolan E can be contacted via phone (727) 898-7451.

Contact Information

Primary practice address
601 5Th St S Ach Outpatient Care Center St Petersburg FL 33701-4804
Phone: (727) 898-7451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 233737 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X ME127615 Florida

Profile Details

NPI number 1467649525
LBN Legal business name Walter, Jolan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 27th, 2020 - about 4 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 1467649525 NPPES
Florida MEDICAID 017059500

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