GEORGE E WAHLEN VA; NPI #1063658284

Contact Information

GEORGE E WAHLEN VA

VA SLC HCS
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001

Phone: 801-582-1565
Fax: 801-584-2576
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diabetes Educator	163WD0400X

Indicates primary specialty

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NPI Profile & details for GEORGE E WAHLEN VA

NPI # 1063658284

LBN Legal business name GEORGE E WAHLEN VA

Authorized official JANMARIE PETERSEN - (STAFF NURSE)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/17/2008

Last updated 03/24/2009 - About 17 years ago

Identifiers

License #

2085793102

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GEORGE E WAHLEN VA

Contact Information

Specialty

Diabetes Educator

NPI Profile & details for GEORGE E WAHLEN VA

Reviews for GEORGE E WAHLEN VA