Fosbury, Walter Jay
Fosbury, Walter Jay is an sole proprietor health care provider with primary practice located at 1800 Mcrae Blvd , El Paso TX 79925-6706. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fosbury, Walter Jay can be contacted via phone (915) 592-4168.Contact Information
Primary practice address
1800 Mcrae Blvd
El Paso TX 79925-6706
Phone: (915) 592-4168
Fax: (915) 591-5014
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 11313 | Texas |
Profile Details
NPI number | 1982726618 |
---|---|
LBN Legal business name | Fosbury, Walter Jay |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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