Walter, Charles
Walter, Charles is an individual health care provider with primary practice located at 3400 Squalicum Pkwy Suite 102, Bellingham WA 98225-1933. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Walter, Charles can be contacted via phone (360) 676-8920.Contact Information
Primary practice address
3400 Squalicum Pkwy Suite 102
Bellingham WA 98225-1933
Phone: (360) 676-8920
Fax: (360) 676-5988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5632 | Washington |
Profile Details
| NPI number | 1093883779 |
|---|---|
| LBN Legal business name | Walter, Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1093883779 | NPPES |
| Washington | MEDICAID | 5030226 |
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