Briney, Walter

Briney, Walter is an individual health care provider with primary practice located at 430 Pennsylvania Ave 310, Glen Ellyn IL 60137-4464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Briney, Walter can be contacted via phone (630) 469-9200.

Contact Information

Primary practice address
430 Pennsylvania Ave 310 Glen Ellyn IL 60137-4464
Phone: (630) 469-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036044736 Illinois

Profile Details

NPI number 1659365955
LBN Legal business name Briney, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jan 20th, 2011 - about 13 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 1659365955 NPPES
Illinois MEDICAID 036044736

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