Walz, Jens M.

Walz, Jens M. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Anesthesiology, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Walz, Jens M. can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Department Of Anesthesiology Worcester MA 01655-0002
Fax: (508) 856-5911
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 220200 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 220200 Massachusetts

Profile Details

NPI number 1700877685
LBN Legal business name Walz, Jens M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 2nd, 2020 - about 4 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 1700877685 NPPES
Massachusetts MEDICAID 110040906A

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