Spears, Walter
Spears, Walter is an individual health care provider with primary practice located at 2595 E Washington Blvd 107, Pasadena CA 91107-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spears, Walter can be contacted via phone (626) 791-1168.Contact Information
Primary practice address
2595 E Washington Blvd 107
Pasadena CA 91107-1409
Phone: (626) 791-1168
Fax: (626) 791-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G34441 | California |
Profile Details
| NPI number | 1205809704 |
|---|---|
| LBN Legal business name | Spears, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Oct 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205809704 | NPPES |
| California | MEDICAID | 00G344410 |
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