Waltz, Karen Marie

Waltz, Karen Marie is an individual health care provider with primary practice located at 1934 Security Drive , York PA 17402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Waltz, Karen Marie can be contacted via phone (717) 741-3761.

Contact Information

Primary practice address
1934 Security Drive York PA 17402
Fax: (717) 741-9495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD061740L Pennsylvania

Profile Details

NPI number 1114142254
LBN Legal business name Waltz, Karen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Nov 16th, 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 1114142254 NPPES
Pennsylvania Other 133197 BLUE SHIELD LEGACY NUMBER

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