Fanburg, Walter

Fanburg, Walter is an sole proprietor health care provider with primary practice located at 4413 Muncaster Mill Rd , Rockville MD 20853-1434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Fanburg, Walter can be contacted via phone (240) 832-8409.

Contact Information

Primary practice address
4413 Muncaster Mill Rd Rockville MD 20853-1434
Phone: (240) 832-8409
Fax: (301) 493-4737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X D0004033 Maryland

Profile Details

NPI number 1922345115
LBN Legal business name Fanburg, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - about 11 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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