Dodard, Walter
Dodard, Walter is an sole proprietor health care provider with primary practice located at 622 Washington St , Watertown NY 13601-4036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dodard, Walter can be contacted via phone (315) 788-2003.Contact Information
Primary practice address
622 Washington St
Watertown NY 13601-4036
Phone: (315) 788-2003
Fax: (315) 788-7087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 226806 | New York |
Profile Details
| NPI number | 1699720516 |
|---|---|
| LBN Legal business name | Dodard, Walter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 31st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699720516 | NPPES |
| New York | MEDICAID | 02460786 |
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