Walters, Phyllis J
Walters, Phyllis J is an individual health care provider with primary practice located at 155 Wilson Ave , Washington PA 15301-3336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Walters, Phyllis J can be contacted via phone (724) 225-7000.Contact Information
Primary practice address
155 Wilson Ave
Washington PA 15301-3336
Phone: (724) 225-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD028020Y | Pennsylvania |
Profile Details
| NPI number | 1134193436 |
|---|---|
| LBN Legal business name | Walters, Phyllis J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134193436 | NPPES |
| Ohio | MEDICAID | 2585528 | |
| Ohio | MEDICAID | 0010729710015 | |
| Ohio | Other | P00230604 | |
| Ohio | Other | 000000364349 | |
| Ohio | Other | P00331221 |
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