Walter, Philip S
Walter, Philip S is an individual health care provider with primary practice located at 4374 New Town Ave Suite 102, Williamsburg VA 23188-2865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walter, Philip S can be contacted via phone (757) 259-6770.Contact Information
Primary practice address
4374 New Town Ave Suite 102
Williamsburg VA 23188-2865
Phone: (757) 259-6770
Fax: (757) 259-6794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101044944 | Virginia |
Profile Details
| NPI number | 1063487353 |
|---|---|
| LBN Legal business name | Walter, Philip S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | May 16th, 2014 - about 10 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 | 1063487353 | NPPES |
| Virginia | MEDICAID | 010111790 |
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