Blumenfeld, Walter Lawrence
Blumenfeld, Walter Lawrence is an individual health care provider with primary practice located at 1804 Brook Avenue , Wichita Falls TX 76301. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Blumenfeld, Walter Lawrence can be contacted via phone (940) 322-2252.Contact Information
Primary practice address
1804 Brook Avenue
Wichita Falls TX 76301
Phone: (940) 322-2252
Fax: (940) 322-7090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | P10798 | Texas |
Profile Details
| NPI number | 1306041140 |
|---|---|
| LBN Legal business name | Blumenfeld, Walter Lawrence |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 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 | 1306041140 | NPPES |
| Texas | Other | P10798 | LICENSE NUMBER |
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