Bender, Walter L

Bender, Walter L is an individual health care provider with primary practice located at 1600 N 2Nd St , Clinton MO 64735-1192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bender, Walter L can be contacted via phone (660) 885-5511.

Contact Information

Primary practice address
1600 N 2Nd St Clinton MO 64735-1192
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0422403 Kansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R9H07 Missouri

Profile Details

NPI number 1205803921
LBN Legal business name Bender, Walter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 21st, 2022 - about 3 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 1205803921 NPPES
Michigan MEDICAID 202618005

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