Speirs, Walter Glen

Speirs, Walter Glen is an individual health care provider with primary practice located at 844 Old Tunnel Rd , Grass Valley CA 95945-8524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Speirs, Walter Glen can be contacted via phone (530) 274-9762.

Contact Information

Primary practice address
844 Old Tunnel Rd Grass Valley CA 95945-8524
Fax: (530) 273-7255
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 22863 California

Profile Details

NPI number 1326004094
LBN Legal business name Speirs, Walter Glen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 10th, 2023 - about last year

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 1326004094 NPPES
Colorado MEDICAID 50006878

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