Brandon Waller

Case Manager/Care Coordinator · Chesapeake, OH

Individual Active NPI

NPI number 1417661075

Practice location

11470 County Road 1
Chesapeake, OH 45619-7010
Phone
(740) 451-0074

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NPI record

NPI
1417661075
Entity type
Individual (Type 1)
Enumeration date
January 9, 2023
Last updated
January 9, 2023
Certified
January 9, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Brandon Waller

Brandon Waller is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 11470 County Road 1, Chesapeake, OH 45619-7010. The NPI number 1417661075 was assigned on January 9, 2023 and the record was last updated on January 9, 2023.

Frequently asked questions

What is the NPI number of Brandon Waller?

The NPI number is 1417661075.

What is the phone number of Brandon Waller?

The phone number listed for the practice location is (740) 451-0074.

Where is Brandon Waller located?

11470 County Road 1, Chesapeake, OH 45619-7010.

What is the taxonomy code for Brandon Waller?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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