Waltman, Penny L

Waltman, Penny L is an individual health care provider with primary practice located at 601 John St Ste M351, Bronson Womens Services, Kalamazoo MI 49007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Waltman, Penny L can be contacted via phone (269) 341-7979.

Contact Information

Primary practice address
601 John St Ste M351, Bronson Womens Services Kalamazoo MI 49007
Phone: (269) 341-7979
Fax: (269) 341-6261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704112162 Michigan

Profile Details

NPI number 1992785505
LBN Legal business name Waltman, Penny L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1992785505 NPPES
Michigan MEDICAID 3073870

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