Egenmaier, Walter H.

Egenmaier, Walter H. is an individual health care provider with primary practice located at 101 Nw 1St St Suite 112, Evansville IN 47708-1259. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Egenmaier, Walter H. can be contacted via phone (812) 426-2020.

Contact Information

Primary practice address
101 Nw 1St St Suite 112 Evansville IN 47708-1259
Phone: (812) 426-2020
Fax: (812) 426-2828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002611 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 1000DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 1235 Georgia

Profile Details

NPI number 1609878990
LBN Legal business name Egenmaier, Walter H.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 3rd, 2011 - 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 1609878990 NPPES
Indiana Other 4544563 AETNA
Indiana Other 87793 AETNA
Indiana MEDICAID 100377200 AETNA
Indiana Other 839180 AETNA
Indiana Other 410021835 AETNA
Indiana MEDICAID 77340404 AETNA

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