Agudelo, Walter Steven
Agudelo, Walter Steven is an individual health care provider with primary practice located at 300 Twining St Bldg 760 , Maxwell Afb AL 36112-6027. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Agudelo, Walter Steven can be contacted via phone (334) 963-9154.Contact Information
Primary practice address
300 Twining St Bldg 760
Maxwell Afb AL 36112-6027
Phone: (334) 963-9154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1295212413 |
|---|---|
| LBN Legal business name | Agudelo, Walter Steven |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2018 |
| Last updated | Aug 16th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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