Walz, Judy A
Walz, Judy A is an individual health care provider with primary practice located at 10500 North Port Washington Road , Mequon WI 53092. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Walz, Judy A can be contacted via phone (262) 240-0427.Contact Information
Primary practice address
10500 North Port Washington Road
Mequon WI 53092
Phone: (262) 240-0427
Fax: (262) 240-0429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 47238030 | Wisconsin |
Profile Details
| NPI number | 1104995141 |
|---|---|
| LBN Legal business name | Walz, Judy A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104995141 | NPPES |
| Wisconsin | MEDICAID | 40939000 |
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