Walz, Jessica F

Walz, Jessica F is an individual health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768-2200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walz, Jessica F can be contacted via phone (443) 812-0141.

Contact Information

Primary practice address
79 Middleville Rd Northport NY 11768-2200
Phone: (443) 812-0141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010622 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C002646 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA001069 Maine

Profile Details

NPI number 1669544292
LBN Legal business name Walz, Jessica F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated May 29th, 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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