Chmelewski, Walter Lawrence

Chmelewski, Walter Lawrence is an individual health care provider with primary practice located at 3101 John Humphries Wynd , Raleigh NC 27612-5302. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chmelewski, Walter Lawrence can be contacted via phone (919) 881-8272.

Contact Information

Primary practice address
3101 John Humphries Wynd Raleigh NC 27612-5302
Phone: (919) 881-8272
Fax: (919) 881-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31789 North Carolina

Profile Details

NPI number 1275503807
LBN Legal business name Chmelewski, Walter Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 21st, 2012 - about 14 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 1275503807 NPPES
North Carolina Other 0256M MEDICARE GROUP NUMBER
North Carolina MEDICAID 7922453 MEDICARE GROUP NUMBER

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