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
Fax: (915) 591-5014
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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