Beaver, Walter
Beaver, Walter is an individual health care provider with primary practice located at 18077 River Ave Suite 104, Noblesville IN 46062-8311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beaver, Walter can be contacted via phone (317) 674-0208.Contact Information
Primary practice address
18077 River Ave Suite 104
Noblesville IN 46062-8311
Phone: (317) 674-0208
Fax: (317) 674-0210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01025309 | Indiana |
Profile Details
| NPI number | 1154404556 |
|---|---|
| LBN Legal business name | Beaver, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Oct 21st, 2014 - about 11 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 | 1154404556 | NPPES |
| Indiana | MEDICAID | 100125340 |
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