Balfour, Walter Ernest
Balfour, Walter Ernest is an sole proprietor health care provider with primary practice located at 219 W Coal Ave , Gallup NM 87301-6305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Balfour, Walter Ernest can be contacted via phone (505) 863-6448.Contact Information
Primary practice address
219 W Coal Ave
Gallup NM 87301-6305
Phone: (505) 863-6448
Fax: (505) 722-6491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 240 | New Mexico |
Profile Details
| NPI number | 1083770119 |
|---|---|
| LBN Legal business name | Balfour, Walter Ernest |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083770119 | NPPES |
| New Mexico | MEDICAID | P-2736 |
Popular Providers
-
Graves, Paul William
1300 S 2Nd St , Gallup NM 87301-5813 -
Thoi, Lilian
516 E Nizhoni Blvd , Gallup NM 87301-5748 -
Johansen, Eric D.
516 E. Nizhoni Blvd. , Gallup NM 87301-1337 -
Di Giacomo, Quint
112 W Hill Ave , Gallup NM 87301-6218 -
Khoury, Farid Elie
1500 S 2Nd St Ste 5 , Gallup NM 87301-5898 -
Li, Yolanda
516 E Nizhoni Blvd , Gallup NM 87301-5748 -
Culligan, Brian
516 E. Nizhoni Blvd Box 1337, Gallup NM 87301-1337 -
Nelson, Krystal Dawn
516 East Nizhoni Blvd , Gallup NM 87301