Chiles, Walter W

Chiles, Walter W is an individual health care provider with primary practice located at 9245 Park West Blvd , Knoxville TN 37923-4425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chiles, Walter W can be contacted via phone (865) 690-3811.

Contact Information

Primary practice address
9245 Park West Blvd Knoxville TN 37923-4425
Phone: (865) 690-3811
Fax: (865) 694-7621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 39479 Tennessee

Profile Details

NPI number 1124019682
LBN Legal business name Chiles, Walter W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 6th, 2023 - about 2 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 1124019682 NPPES
Tennessee Other 0347510001 MEDICARE NSC
Tennessee MEDICAID 3329829 MEDICARE NSC

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