Rae, Walter

Rae, Walter is an sole proprietor health care provider with primary practice located at 58 Big Deer Run , Newfane VT 05345-9570. He recently has only one registered license in Hospitals / Critical Access, which is considered as his primary health care specialty. Rae, Walter can be contacted via phone (802) 365-9499.

Contact Information

Primary practice address
58 Big Deer Run Newfane VT 05345-9570
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 0260058372 Vermont

Profile Details

NPI number 1003133570
LBN Legal business name Rae, Walter
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2010
Last updated Apr 23rd, 2010 - about 15 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 1003133570 NPPES
Wisconsin MEDICAID 39911600

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