Grundy, Walter G

Grundy, Walter G is an individual health care provider with primary practice located at 2904 Westcorp Blvd Sw Suite 107/108, Huntsville AL 35805-6437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Grundy, Walter G can be contacted via phone (256) 533-1480.

Contact Information

Primary practice address
2904 Westcorp Blvd Sw Suite 107/108 Huntsville AL 35805-6437
Phone: (256) 533-1480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 9204 Alabama
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10857 Oklahoma

Profile Details

NPI number 1073517926
LBN Legal business name Grundy, Walter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 18th, 2008 - about 16 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 1073517926 NPPES
Alabama Other 051081167 BCBS
Alabama MEDICAID 000081167 BCBS

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