National Provider Identifier Database

ELIZABETH WALLEN, MD – NPI #1285634071
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

ELIZABETH WALLEN, MD
20 CALLE CAL
SANTA FE, NM87508
Phone: 614-266-8533
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Anesthesiology 207L00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for ELIZABETH WALLEN

NPI Number 1285634071
Credentials MD
Entity Individual
Enumeration date 07/22/2005
Last updated 05/15/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NM License #: MD000025868
  • OH License #: 35-055437
  • OH License #: 35.055437
  • OH License #: 35055437
  • PA License #: MD43857E
  • OH Medicaid: 0665945
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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