Waltman, Joanne M
Waltman, Joanne M is an individual health care provider with primary practice located at 1500 Calvary Church Rd , Festus MO 63028-4125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Waltman, Joanne M can be contacted via phone (636) 933-2900.Contact Information
Primary practice address
1500 Calvary Church Rd
Festus MO 63028-4125
Phone: (636) 933-2900
Fax: (636) 933-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008017886 | Missouri |
Profile Details
| NPI number | 1063692739 |
|---|---|
| LBN Legal business name | Waltman, Joanne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Aug 22nd, 2014 - about 11 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 | 1063692739 | NPPES |
| Missouri | MEDICAID | 1063692739 | |
| Missouri | Other | P01246641 |
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