Smith, Walter K

Smith, Walter K is an individual health care provider with primary practice located at 1001 E 17Th St Assembly Hall, Bloomington IN 47408-1590. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smith, Walter K can be contacted via phone (812) 855-3621.

Contact Information

Primary practice address
1001 E 17Th St Assembly Hall Bloomington IN 47408-1590
Phone: (812) 855-3621
Fax: (812) 855-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000057A Indiana

Profile Details

NPI number 1417945122
LBN Legal business name Smith, Walter K
Credentials MED, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jan 25th, 2012 - about 12 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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