Medlin, Walter Scott Edwards
Medlin, Walter Scott Edwards is an individual health care provider with primary practice located at 1046 E 100 S Suite A, Salt Lake City UT 84102-1520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Medlin, Walter Scott Edwards can be contacted via phone (406) 694-2487.Contact Information
Primary practice address
1046 E 100 S Suite A
Salt Lake City UT 84102-1520
Phone: (406) 694-2487
Fax: (801) 746-2886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47825-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00037282 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12854 | Montana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 8984752-1205 | Utah |
Profile Details
| NPI number | 1932156692 |
|---|---|
| LBN Legal business name | Medlin, Walter Scott Edwards |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Aug 21st, 2014 - about 11 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 | 1932156692 | NPPES |
| Washington | Other | 7762232 | AETNA |
| Washington | Other | 0248634 | AETNA |
| Washington | MEDICAID | 1932156692 | AETNA |
| Washington | MEDICAID | 976488700 | AETNA |
| Washington | MEDICAID | MD0608W | AETNA |
| Washington | Other | 1008ME | AETNA |
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