Beaver, Walter Burns
Beaver, Walter Burns is an individual health care provider with primary practice located at 2001 Vail Ave , Charlotte NC 28207-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Beaver, Walter Burns can be contacted via phone (704) 323-2000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 33450 | North Carolina |
Profile Details
| NPI number | 1679555692 |
|---|---|
| LBN Legal business name | Beaver, Walter Burns |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jan 10th, 2018 - about 6 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 | 1679555692 | NPPES |
| South Carolina | MEDICAID | N33450 | |
| South Carolina | Other | 0397730024 | |
| South Carolina | MEDICAID | 1679555692 |
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