Waltman, Maddie Ann
Waltman, Maddie Ann is an sole proprietor health care provider with primary practice located at 25 Whitney Dr , Milford OH 45150-8402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Waltman, Maddie Ann can be contacted via phone (513) 941-4999.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.130897 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 274636 | Kentucky |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADC.00000128 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.2304729-TRNE | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.161165 | Ohio |
Profile Details
| NPI number | 1629407911 |
|---|---|
| LBN Legal business name | Waltman, Maddie Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2013 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629407911 | NPPES |
| Ohio | MEDICAID | 0267502 |
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