Chitwood, Walter Randolph

Chitwood, Walter Randolph is an individual health care provider with primary practice located at 115 Heart Dr Dept Of East Carolina Heart Institute @ Ecu Dept. Of Cvs, Greenville NC 27834-8944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Chitwood, Walter Randolph can be contacted via phone (252) 744-4400.

Contact Information

Primary practice address
115 Heart Dr Dept Of East Carolina Heart Institute @ Ecu Dept. Of Cvs Greenville NC 27834-8944
Phone: (252) 744-4400
Fax: (252) 744-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27140 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 27140 North Carolina

Profile Details

NPI number 1306844436
LBN Legal business name Chitwood, Walter Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Nov 2nd, 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 1306844436 NPPES
North Carolina Other 22370 BCBS NC
North Carolina Other 330004174 BCBS NC
North Carolina MEDICAID 8922370 BCBS NC

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