Walz, Jon H.
Walz, Jon H. is an sole proprietor health care provider with primary practice located at 1000 Ashland Dr Suite 105, Ashland KY 41101-7057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walz, Jon H. can be contacted via phone (606) 327-0077.Contact Information
Primary practice address
1000 Ashland Dr Suite 105
Ashland KY 41101-7057
Phone: (606) 327-0077
Fax: (606) 833-9453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02629 | Kentucky |
Profile Details
NPI number | 1871544817 |
---|---|
LBN Legal business name | Walz, Jon H. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 15th, 2006 |
Last updated | Jun 12th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871544817 | NPPES |
Kentucky | MEDICAID | 64990468 |
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