Goldwater, Walter Eugene

Goldwater, Walter Eugene is an individual health care provider with primary practice located at 108 Russel St , Hadlen MA 01035-9546. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Psychoanalysis is his primary health care specialty. Goldwater, Walter Eugene can be contacted via phone (413) 549-7990.

Contact Information

Primary practice address
108 Russel St Hadlen MA 01035-9546
Phone: (413) 549-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 43014 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 43014 Massachusetts

Profile Details

NPI number 1720133655
LBN Legal business name Goldwater, Walter Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720133655 NPPES
Massachusetts MEDICAID 0149934

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