Kerwin, Walter F
Kerwin, Walter F is an individual health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2125. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Kerwin, Walter F can be contacted via phone (541) 269-8111.Contact Information
Primary practice address
1775 Thompson Rd
Coos Bay OR 97420-2125
Phone: (541) 269-8111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G75336 | California |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD2018-0760 | New Mexico |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 66875 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | TP335 | Kentucky |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD199312 | Oregon |
Profile Details
| NPI number | 1457397556 |
|---|---|
| LBN Legal business name | Kerwin, Walter F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Feb 8th, 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 | 1457397556 | NPPES |
| Oregon | MEDICAID | 500717106 | |
| Oregon | MEDICAID | 1457397556 |
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