Walz, Bradley H.

Walz, Bradley H. is an individual health care provider with primary practice located at 1229 E Seminole St , Springfield MO 65804-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Walz, Bradley H. can be contacted via phone (417) 820-5610.

Contact Information

Primary practice address
1229 E Seminole St Springfield MO 65804-2227
Fax: (417) 820-5588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 118993 Missouri

Profile Details

NPI number 1649319963
LBN Legal business name Walz, Bradley H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Feb 5th, 2013 - about 12 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 1649319963 NPPES
Missouri Other 98576 AR BLUE SHIELD #
Missouri MEDICAID 204641112 AR BLUE SHIELD #

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