Individual provider · Type 1 NPI
John C. Walls
Student in an Organized Health Care Education/Training Program · Hampton Bays, NY
NPI number
1760946594
Active
Practice location
31 East Montauk Highway
Hampton Bays, NY 11946-0701
Mailing address
90 Cherry Lane
Hicksville, NY 11801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Bethany HoganStudent in an Organized Health Care Education/Training Program Hampton Bays, NY NPI 1760928691
About NPI 1760946594
John C. Walls's National Provider Identifier is 1760946594, issued on Jan 25, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hampton Bays, NY. The record was last updated on Jan 25, 2019.