Iversen, William Walter
Iversen, William Walter is an individual health care provider with primary practice located at 1103 S Shields , Fort Collins CO 80521. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Iversen, William Walter can be contacted via phone (970) 484-3214.Contact Information
Primary practice address
1103 S Shields
Fort Collins CO 80521
Phone: (970) 484-3214
Fax: (970) 484-4007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 104735 | Colorado |
Profile Details
| NPI number | 1487612057 |
|---|---|
| LBN Legal business name | Iversen, William Walter |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487612057 | NPPES |
| Colorado | MEDICAID | 87457563 |
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