Gribben, Walter Blake

Gribben, Walter Blake is an individual health care provider with primary practice located at 1440 Narrow Lane Pkwy , Montgomery AL 36111-2654. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gribben, Walter Blake can be contacted via phone (334) 281-4140.

Contact Information

Primary practice address
1440 Narrow Lane Pkwy Montgomery AL 36111-2654
Phone: (334) 281-4140
Fax: (334) 281-4198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014012620 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2014012620 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2014012620 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD.42619 Alabama

Profile Details

NPI number 1619296795
LBN Legal business name Gribben, Walter Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2010
Last updated Jul 28th, 2021 - about 4 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 1619296795 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 268374

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