Bain, Walter M

Bain, Walter M is an individual health care provider with primary practice located at 1303 Mccullough Ave Ste 242, San Antonio TX 78212-5604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bain, Walter M can be contacted via phone (210) 226-8982.

Contact Information

Primary practice address
1303 Mccullough Ave Ste 242 San Antonio TX 78212-5604
Phone: (210) 226-8982
Fax: (210) 227-1736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X E4184 Texas

Profile Details

NPI number 1194890863
LBN Legal business name Bain, Walter M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 29th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194890863 NPPES
Other 742630478 CHAMPUS
MEDICAID 082977201 CHAMPUS
Other 86M432 CHAMPUS

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