Walz, John E.

Walz, John E. is an sole proprietor health care provider with primary practice located at 1511 Park Ave , Columbus WI 53925-2401. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walz, John E. can be contacted via phone (920) 623-3040.

Contact Information

Primary practice address
1511 Park Ave Columbus WI 53925-2401
Fax: (920) 623-2244
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21885 Wisconsin

Profile Details

NPI number 1225088362
LBN Legal business name Walz, John E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 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 1225088362 NPPES
Wisconsin Other 391415680-00 UNITY HEALTH PLAN
Wisconsin Other 1005999 UNITY HEALTH PLAN
Wisconsin MEDICAID 30477200 UNITY HEALTH PLAN
Wisconsin Other 391415680019 UNITY HEALTH PLAN
Wisconsin Other 391415680-01 UNITY HEALTH PLAN
Wisconsin Other 538607 UNITY HEALTH PLAN

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