Libby, Walter

Libby, Walter is an sole proprietor health care provider with primary practice located at 1695 Jefferson St , Eugene OR 97402-4063. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Libby, Walter can be contacted via phone (541) 344-9700.

Contact Information

Primary practice address
1695 Jefferson St Eugene OR 97402-4063
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 5122 Oregon

Profile Details

NPI number 1144400862
LBN Legal business name Libby, Walter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Nov 9th, 2007 - about 18 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 1144400862 NPPES
Other 5122 MASSAGE THERAPIST

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