Phillips, Walter Lee

Phillips, Walter Lee is an individual health care provider with primary practice located at 4700 Fort Ave , Lynchburg VA 04502. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Phillips, Walter Lee can be contacted via phone (434) 239-7411.

Contact Information

Primary practice address
4700 Fort Ave Lynchburg VA 04502
Phone: (434) 239-7411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401-007471 Virginia

Profile Details

NPI number 1316035033
LBN Legal business name Phillips, Walter Lee
Credentials DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 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 1316035033 NPPES
Virginia Other 196318 ANTHEM

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