Boardwine, Walter C.

Boardwine, Walter C. is an individual health care provider with primary practice located at 812 Gorman Ave , Elkins WV 26241-3181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Boardwine, Walter C. can be contacted via phone (304) 637-9302.

Contact Information

Primary practice address
812 Gorman Ave Elkins WV 26241-3181
Phone: (304) 637-9302
Fax: (304) 637-9306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3019 West Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 38203 Colorado

Profile Details

NPI number 1922107911
LBN Legal business name Boardwine, Walter C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 26th, 2024 - about last year

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 1922107911 NPPES
West Virginia MEDICAID 3810030053

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