Walter, Stacey L.

Walter, Stacey L. is an individual health care provider with primary practice located at 31891 State Route 93 , Mc Arthur OH 45651-9006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Walter, Stacey L. can be contacted via phone (740) 596-5249.

Contact Information

Primary practice address
31891 State Route 93 Mc Arthur OH 45651-9006
Phone: (740) 596-5249
Fax: (740) 596-4821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47817 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.089873 Ohio

Profile Details

NPI number 1427027531
LBN Legal business name Walter, Stacey L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 12th, 2020 - about 4 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 1427027531 NPPES
Ohio MEDICAID 2774261

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