Minaert, Walter August

Minaert, Walter August is an individual health care provider with primary practice located at 21017 State Route 12F , Watertown NY 13601-1078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Minaert, Walter August can be contacted via phone (315) 782-1990.

Contact Information

Primary practice address
21017 State Route 12F Watertown NY 13601-1078
Phone: (315) 782-1990
Fax: (315) 782-1037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1227821 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 122792 New York

Profile Details

NPI number 1851328025
LBN Legal business name Minaert, Walter August
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 7th, 2023 - about 2 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 1851328025 NPPES
New York MEDICAID 00585011

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