Walter J M Pedersen Jr Md Pc

LBN: Walter J M Pedersen Jr Md Pc
Walter J M Pedersen Jr Md Pc is an health care organization with primary practice located at Sunny Isle Prof Bldg Suite 3F, St Croix VI 00823-4423. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Walter J M Pedersen Jr Md Pc can be contacted via phone (340) 778-6110, or through Pedersen, Walter J M via phone (340) 778-6110.

Contact Information

Primary practice address
Sunny Isle Prof Bldg Suite 3F St Croix VI 00823-4423
Phone: (340) 778-6110
Fax: (340) 778-2919
Website:
Map and Directions
Authorized official contact:
Name: Pedersen, Walter J M Doctor of Medicine (MD)
Phone: (340) 778-6110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 653 Virgin Islands
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 653 Virgin Islands

Profile Details

NPI number 1184808065
LBN Legal business name Walter J M Pedersen Jr Md Pc
DBA Doing business as
Authorized official Pedersen, Walter J M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Jul 10th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184808065 NPPES
Virgin Islands Other VI000011 TRICARE
Virgin Islands Other 0500138 TRICARE
Virgin Islands Other 170823200 TRICARE
Virgin Islands Other 1780671909 TRICARE
Virgin Islands Other 53699PE TRICARE
Virgin Islands Other 089045 TRICARE
Virgin Islands Other 1184808065 TRICARE

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