Walter, Gail M
Walter, Gail M is an individual health care provider with primary practice located at 1018 Highway 321 N , Lenoir City TN 37771-6683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Walter, Gail M can be contacted via phone (865) 986-4450.Contact Information
Primary practice address
1018 Highway 321 N
Lenoir City TN 37771-6683
Phone: (865) 986-4450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19847 | Tennessee |
Profile Details
| NPI number | 1619903192 |
|---|---|
| LBN Legal business name | Walter, Gail M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Aug 17th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619903192 | NPPES |
| Tennessee | Other | 080082031 | RR MEDICARE PIN |
| Tennessee | MEDICAID | 3098710 | RR MEDICARE PIN |
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