Walter, Paul M.

Walter, Paul M. is an sole proprietor health care provider with primary practice located at 23 N Water St , Geneva IL 60134-2218. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Walter, Paul M. can be contacted via phone (630) 262-1090.

Contact Information

Primary practice address
23 N Water St Geneva IL 60134-2218
Fax: (630) 262-1091
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X Illinois

Profile Details

NPI number 1568559995
LBN Legal business name Walter, Paul M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568559995 NPPES
Illinois Other 04521646 BLUE CROSS BLUE SHIELD ID

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