Waller, William Chambers

Waller, William Chambers is an individual health care provider with primary practice located at 2805 5Th St 220, Rapid City SD 57701-6003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Waller, William Chambers can be contacted via phone (605) 348-1084.

Contact Information

Primary practice address
2805 5Th St 220 Rapid City SD 57701-6003
Phone: (605) 348-1084
Fax: (605) 348-3256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD60933481 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X 4033 South Dakota

Profile Details

NPI number 1528069515
LBN Legal business name Waller, William Chambers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 27th, 2019 - about 5 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 1528069515 NPPES
Wyoming MEDICAID 111265100
Wyoming MEDICAID 460350645
Wyoming MEDICAID 7500090

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