Fife, Walter D.

Fife, Walter D. is an sole proprietor health care provider with primary practice located at 954 Barton Ct , Bountiful UT 84010-0906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Independent Medical Examiner, which is considered as his primary health care specialty. Fife, Walter D. can be contacted via phone (801) 683-8003.

Contact Information

Primary practice address
954 Barton Ct Bountiful UT 84010-0906
Phone: (801) 683-8003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X MD00013702 Washington

Profile Details

NPI number 1376746651
LBN Legal business name Fife, Walter D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Feb 14th, 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 1376746651 NPPES
Washington MEDICAID 1262807

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