Boisvert, Walter R

Boisvert, Walter R is an individual health care provider with primary practice located at 610 E Taylor St , Prairie Du Chien WI 53821-2109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boisvert, Walter R can be contacted via phone (608) 326-6466.

Contact Information

Primary practice address
610 E Taylor St Prairie Du Chien WI 53821-2109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27563 Wisconsin

Profile Details

NPI number 1003810821
LBN Legal business name Boisvert, Walter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 21st, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003810821 NPPES
Wisconsin MEDICAID 31419400

Popular Providers