Walz, Susan A

Walz, Susan A is an individual health care provider with primary practice located at 1221 S Gear Ave , West Burlington IA 52655-1679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Walz, Susan A can be contacted via phone (319) 768-1000.

Contact Information

Primary practice address
1221 S Gear Ave West Burlington IA 52655-1679
Phone: (319) 768-1000
Fax: (319) 768-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 119390 Iowa

Profile Details

NPI number 1851554703
LBN Legal business name Walz, Susan A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jan 22nd, 2009 - about 15 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 1851554703 NPPES
Iowa Other P00623409 RAILROAD MEDICARE
Iowa MEDICAID 1851554703 RAILROAD MEDICARE
Iowa Other 119390 RAILROAD MEDICARE

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