EVELYN D WALBERG ELLINGTON, MO

Contact Information

EVELYN D WALBERG

315 E WALNUT ST
ELLINGTON, MO 63638-7943

Phone: 573-663-2644
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Emergency Medical Technician, Basic	146N00000X

Indicates primary specialty

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NPI Profile & details for EVELYN D WALBERG · (Female)

NPI #	`1255996765`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/09/2019
Last updated	05/09/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	MO License # 65672
Hospital affiliation(s)	Not Available

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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EVELYN D WALBERGEmergency Medical Technician, Basic

Contact Information

Specialty

Emergency Medical Technician, Basic

NPI Profile & details for EVELYN D WALBERG · (Female)

Reviews for EVELYN D WALBERG

EVELYN D WALBERG
Emergency Medical Technician, Basic