Fernau, Walter A
Fernau, Walter A is an individual health care provider with primary practice located at 421 S Division St , Spokane WA 99202-1331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fernau, Walter A can be contacted via phone (509) 474-2100.Contact Information
Primary practice address
421 S Division St
Spokane WA 99202-1331
Phone: (509) 474-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00042789 | Washington |
Profile Details
| NPI number | 1154313096 |
|---|---|
| LBN Legal business name | Fernau, Walter A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Apr 30th, 2015 - about 10 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 | 1154313096 | NPPES |
| Washington | MEDICAID | 8387078 |
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