Panis, Walter

Panis, Walter is an individual health care provider with primary practice located at 125 Nashua St Srh Spaulding Rehab Hospital, Boston MA 02114-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Panis, Walter can be contacted via phone (617) 573-2628.

Contact Information

Primary practice address
125 Nashua St Srh Spaulding Rehab Hospital Boston MA 02114-1101
Phone: (617) 573-2628
Fax: (617) 573-7119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 40760 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40760 Massachusetts

Profile Details

NPI number 1588654859
LBN Legal business name Panis, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588654859 NPPES
Massachusetts Other 701135 TUFTS HEALTH PLAN
Massachusetts Other M09898 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2067684 TUFTS HEALTH PLAN

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