Hayes, Walter Wadsworth
Hayes, Walter Wadsworth is an individual health care provider with primary practice located at 1000 Windover Suite A, Jonesboro AR 72401. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Hayes, Walter Wadsworth can be contacted via phone (870) 934-8200.Contact Information
Primary practice address
1000 Windover Suite A
Jonesboro AR 72401
Phone: (870) 934-8200
Fax: (870) 934-8219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 216 | Arkansas |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 216 | Arkansas |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 216 | Arkansas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 216 | Arkansas |
Profile Details
| NPI number | 1346246352 |
|---|---|
| LBN Legal business name | Hayes, Walter Wadsworth |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346246352 | NPPES |
| Missouri | MEDICAID | 309032506 | |
| Missouri | Other | 5X147 | |
| Missouri | Other | P00449141 | |
| Missouri | MEDICAID | 149111717 |
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